NCC220852_Contact Update Record_20241016

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 10/16/2024 4:47:37 PM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC220852
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-0852
Original NOI No.* 81925
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Duke Energy Progress LLC
Project Name Roxboro Bioreactor Demolition and Erosion and Sediment Control Plan
Address 1700 Dunnaway Road,Semora, NC
County Person
Latitude 36.4710
Longitude -79.0787
Date COC Issued* 04/01/2024
Prior Rescission Date This field will populate only if COC has already been rescinded.
Which Contacts Have Billing Only
Changed?* Legally Responsible Individual Only
Site Contact Only
BOTH Legally Responsible Individual and Site Contact
Has Billing Contact Choose'Yes'to revise Billing Contact details.
Changed? Q No
0 Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 980-373-7144
NEW Billing [phone]
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Eric Szkolnyj
Individual(Previous)
First Name(New)* Issa J.
Last Name(New)* Zarzar

NEW Legally Reflects any revisions above
Responsible Issa J.Zarzar
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 400 South Tryon Street ST06K,0,Charlotte,
Address(Previous) NC 28285
NEW Permittee Street Address
Mailing Address* 410 S.Wilmington Street
Address Line 2
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27601 us
Permittee Street 400 South Tryon Street ST06K,0,Charlotte,
Address(Previous) NC 28285
NEW Permittee Street Street Address
Address* 410 S.Wilmington Street
Address Line 2
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27601 us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Ronnie Goodman
(Previous)
Site Contact Title Manager Regional Plant Demo&Retirement
(Previous)
Organization Duke Energy Progress LLC
(Previous)
First Name(New)* Patrick
Last Name(New)* Cottrill
NEW Site Contact* Reflects any revisions above
Patrick Cottrill

NEW Site Contact Sr Project Manager
Title
NEW Organization Duke Energy Progress LLC
This field is not required on the NOI form and may not pre-populate.
Site Contact Email [e-mail]
(Previous)
NEW Site Contact [e-mail]
Email*
Site Contact 812-557-1155
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing Duke Energy Progress LLC, PO Box 1551-
Address(Previous) PEB3A, Raleigh, NC 27602
NEW Site Contact Street Address
Mailing Address* 410 S.Wilmington Street
Address Line 2
NC03
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27601 us
Change Requested Issa J.Zarzar via Modification request submitted 10/14/2024.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 10/16/2024