NCC191572_Contact Update Record_20201208

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Georgoulias, Bethany 12/8/2020 9:58:05 AM (Contact Changes Submitted)

Certificate of NCC191572
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
NC Reference No. NCG01-2019-1572
Original NOI No.* 15251
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new OOC required)
NVR-Ryan Homes
Project Name
The Waterfront at Langtree
Address
448 Langtree Road, Mooresville, NC
County
Iredell
Latitude
35.5288
Longitude
-80.8673
Date COC Issued*
08/28/2019
Prior Rescission
This field will populate only if COChas already been rescinded.
Date
Which Contacts
r Legally Responsible Individual Only
Have Changed?*
f Site Contact Only
r BOTH Legally Responsible Individual and Site Contact
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible
Daniel Zalinsky
Individual
(Previous)
First Name (New)*
Seth
Last Name (New) *
Foster
NEW Legally
Reflects any revisions above
Responsible
Seth Foster
Individual*
Permittee Email
[e-mail]
(Previous)
NEW Permittee
[e-mail]
Email *

Permittee
704-875-9887
Telephone No.
(Previous)
NEW Permittee
704-249-7278
Telephone No.*
Permittee Mailing
9920 Kincey Avenue, Suite 190, Huntersville,
Address (Previous)
NC 28078
NEW Permittee
Street Address
Mailing Address*
13924 Professional Center Drive
Address Line 2
City State / Rovince / Fbgion
Huntersville NC
Fbstal / Zip Code Country
28078 us
Permittee Street
9920 Kincey Avenue, Suite 190, Huntersville,
Address (Previous)
NC 28078
NEW Permittee
Street Address
Street Address*
13924 Professional Center Drive
Address Line 2
City State / Rovince / Region
Huntersville NC
Fbstal / Zip Code Country
28078 us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact
Tim Rayborn
(Previous)
Site Contact Title
Production Manager
(Previous)
Organization
NVR-Ryan Homes
(Previous)
First Name (New)*
Mike
Last Name (New) *
Caldwell
NEW Site Contact *
Reflects any revisions above
Mike Caldwell
NEW Site Contact
Title
NEW Organization NVR-Ryan Homes
This field is not required on the N01 form and rray not pre -populate.
Site Contact Email [e-mail]
(Previous)

NEW Site Contact
Email *
[e-mail]
Site Contact
Telephone No.
(Previous)
NEW Site Contact
Telephone No.*
704-661-3737
704-614-8908
Site Contact Mailing 9920 Kincey Avenue, Suite 190, Huntersville,
Address (Previous) NC 28078
NEW Site Contact
Mailing Address*
Street Address
9920 Kincey Avenue
Address Line 2
Suite 190
city
Huntersville
Fbstal / Zip Code
28078
State / Frovince / Region
NC
Country
us
Change Requested Seth Foster via Modification request submitted 12/7/2020.
by: * Include any additional correspondence records in the Repository CDC folder.
Additional Information for this update to contact information:
Addional No address details were given for the new site contact; original address was
Explanation preserved.
(Optional)
Date * 12/08/2020