NCC215060_Contact Update Record_20231003

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 10/3/2023 7:34:25 AM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC215060
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2021-5060
Original NOI No.* 64281
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Johnston County
Project Name Johnston County MSW Landfill-Borrow Areas F1 &G1
Address County Home Road,Smithfield, NC
County Johnston
Latitude 35.5100
Longitude -78.4300
Date COC Issued* 09/09/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.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
(.) Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 919-989-5100
NEW Billing 919-938-4752
Telephone No. (Optional)
Change Requested Brian Beasley,Solid Waste Director,via email on 10/2/2023
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 10/03/2023