NCC216542_Contact Update Record_20240411

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 4/11/2024 9:52:15 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC216542
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2021-6542
Original NOI No.* 73576
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Duke Energy Carolinas,LLC
Project Name Unit 5 Inactive Ash Basin-Closure Excavation Phase 3
Address McCraw Rd, Mooresboro, NC
County Cleveland
Latitude 35.2055
Longitude -81.7694
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Prior Rescission Date This field will populate only if COC has already been rescinded.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
(6) Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 9802421764
NEW Billing [phone]
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible David Dellario
Individual(Previous)
First Name(New)* Eric
Last Name(New)* Szkolnyj

NEW Legally Reflects any revisions above
Responsible Eric Szkolnyj
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, Suite 30C, Charlotte,
Address(Previous) NC 28285
NEW Permittee Street Address
Mailing Address* 525 South Tryon Street
Address Line 2
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
28202 us
Permittee Street 400 South Tryon Street, Suite 30C, Charlotte,
Address(Previous) NC 28285
NEW Permittee Street Street Address
Address* 525 South Tryon Street
Address Line 2
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
28202 us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Jean Glenn
(Previous)
Site Contact Title
(Previous)
Organization Duke Energy Carolinas, LLC
(Previous)
First Name(New)* Randy
Last Name(New)* Hawkins
NEW Site Contact* Reflects any revisions above
Randy Hawkins

NEW Site Contact Environmental Specialist
Title
NEW Organization Duke Energy Carolinas, 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 908-373-0530
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 526 South Church Street, ECI-13K, Charlotte,
Address(Previous) NC 28202-1802
NEW Site Contact Street Address
Mailing Address* 573 Duke Power Road
Address Line 2
City State/Province/Region
Mooresboro NC
Postal/Zip Code Country
28114 us
Change Requested Eric Szkolnyj(GM CCP Regional Operations&Maintenance)via Modification
by:* request submitted 4/10/2024.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 04/11/2024