NCC221976_Contact Update Record (Leg Resp Change)_20220823

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 8/23/2022 1:12:55 PM (Contact Changes Submitted)

Certificate of NCC221976
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2022-1976
Original NOI No.* 91947
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Starlight Home North Carolina LLC
Project Name Tyler Garden at Tryon Phase 12 & 14 Lots: 1-44
Address Knights Crest Way, Wake Forest, NC
County Wake
Latitude 35.9730
Longitude-78.4670
Date COC Issued * 05/26/2022
Prior Rescission Date This field will populate only if COC has already been rescinded.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? U No
Yes
Billing Email
[e-mail]
NEW Billing Email
[e-mail]
Billing Telephone No.
9198720048
NEW Billing
[phone]
Telephone No.
(Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Jason Morrow
Individual (Previous)
First Name (New)* Raymond
Last Name (New) * Rinker

NEW Legally Reflects any revisions above
Responsible Raymond Rinker
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 5711 Six Forks Road, Suite 200, Raleigh, NC
Address (Previous) 27609-3888
NEW Permittee Street Address
Mailing Address* 5711 Six Forks Road
Address Line 2
Suite 200
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27609-3888
us
Permittee Street 5711 Six Forks Road, Suite 200, Raleigh, NC
Address (Previous) 27609-3888
NEW Permittee Street Street Address
Address* 5711 Six Forks Road
Address Line 2
Suite 200
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27609-3888
us
Change Requested Raymond Rinker (VP of Land Development) via Modification Request submitted
by: * 8/18/2022.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 08/23/2022