NCC221287_Contact Update Record_20230523

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 5/23/2023 1:56:31 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC221287
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-1287
Original NOI No.* 85268
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Pitt Solar, LLC
Project Name Pitt Solar LLC-Phase c
Address Ford Road&Big Oak Road, Bethel, NC
County Pitt
Latitude 35.7999
Longitude -77.3511
Date COC Issued* 04/06/2022
Prior Rescission Date This field will populate only if COC has already been rescinded.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
4) Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 252-825-1731
NEW Billing 704-677-3506
Telephone No. (Optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Douglas Taylor
(Previous)
Site Contact Title Environmental Specialist
(Previous)

Organization SunEnergy1
(Previous)
First Name(New)* Bradley
Last Name(New)* Fite
NEW Site Contact* Reflects any revisions above
Bradley Fite
NEW Site Contact President of Field Operations
Title
NEW Organization SunEnergy1
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 704-662-0375
Telephone No.
(Previous)
NEW Site Contact 704-677-3506
Telephone No.*
Site Contact Mailing 192 Raceway Drive,0, Mooresville, NC
Address(Previous) 28117-6509
NEW Site Contact Street Address
Mailing Address* 6750 NC-30
Address Line 2
City State/Province/Region
Bethel NC
Postal/Zip Code Country
27812 us
Change Requested Derek Ivie(Director of Environmental Compliance,SunEnergy1)via email on
by:* 5/18/2023.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 05/23/2023