NCC193297_Contact Update Record Initial_20210331

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Selkane, Aziza 3/31/2021 3:36:46 PM (Contact Changes Submitted)

Certificate of NCC193297
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
NC Reference No. NCG25-2019-3297
Original NOI No.* 19828
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new OOC required)
NNP Briar Chapel, LLC
Project Name
Briar Chapel - Granite Mill Blvd. Force Main
Address
Granite Mill Blvd, Chapel Hill, NC
County
Chatham
Latitude
35.8158
Longitude
-79.1130
Date COC Issued*
01/14/2020
Prior Rescission
This field will populate only if COChas already been rescinded.
Date
Which Contacts
f Billing Only
Have Changed?*
r Legally Responsible Individual Only
r Site Contact Only
r BOTH Legally Responsible Individual and Site Contact
Has Billing Contact
Choose'Yes'torevise Billing Contact details.
Changed?
r No
r Yes
Billing Email
NEW Billing Email [e-mail]
Billing Telephone
No.
NEW Billing 919 951 0716
Telephone No. (Optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Mike Scisciani
(Previous)

Site Contact Title Vice President of Operations - Raleigh
(Previous)
Organization NNP Briar Chapel, LLC
(Previous)
First Name (New)* Gareth
Last Name (New) * Avant
NEW Site Contact* Reflects any revisions above
Gareth Avant
NEW Site Contact Vice President of Operations - Raleigh
Title
NEW Organization
NNP Briar Chapel, LLC
This field is not required on the N01 form and nay not pre -populate.
Site Contact Email
[e-mail]
(Previous)
NEW Site Contact
[e-mail]
Email *
Site Contact 919-822-8145
Telephone No.
(Previous)
NEW Site Contact 919-951-0716
Telephone No.*
Site Contact Mailing 4020 Westchase Blvd., Suite 150, Raleigh,
Address (Previous) NC 27607
NEW Site Contact
Mailing Address*
Street Address
4020 Westchase Blvd.
Address Line 2
Suite 150
city
Raleigh
Fbstal / Zip Code
27607
State / province / Region
NC
Country
USA
Change Requested Christopher Ferraguto
by: * Include any additional correspondence records in the Repository CDC folder.
Additional Information for this update to contact information:
Addional
Explanation
(Optional)
Date * 03/31 /2021

Georgoulias, Bethany
From: [e-mail]
Sent: Wednesday, March 31, 2021 3:37 PM
To: [e-mail]; [e-mail]; [e-mail]
Cc: Selkane, Aziza; Georgoulias, Bethany
Subject: Construction SW Permit Contact Information Update for NCC193297
This email is to notify you that contact information has been updated for Briar Chapel - Granite Mill Blvd.
Force Main, under COC No. NCC193297. You can review the information in the permit folder in our
Laserfiche Repository.
The following contact information is now associated with this permit record. If anything is in error, please
contact Bethany Georgoulias at [e-mail].
Legally Responsible Individual
Mike Scisciani
[e-mail]
919-822-8145
(Mailing Address) 4020 Westchase Blvd, Suite 150, Raleigh, NC, 27607, USA
(Street Address) 4020 Westchase Blvd, , Raleigh, NC, 27607, USA
Site Contact
Gareth Avant
(Organization) NNP Briar Chapel, LLC
[e-mail]
919-951-0716
(Mailing Address) 4020 Westchase Blvd., Suite 150, Raleigh, NC, 27607, USA
Billing Contact (if available)
[e-mail]
919 951 0716
This change was requested by: Christopher Ferraguto
Be sure to add [e-mail] to your contacts to avoid future e-mails about this application from
going into Spam filters.
The NC DEMLR Stormwater Program
512 N. Salisbury Street, Archdale Building 6th Floor, 1612 Mail Service Center, Raleigh, NC 27699-1612
2
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