NCC215489_Contact Update Record (Billing Email)_20211005

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Selkane, Aziza 10/5/2021 5:06:55 PM (Contact Changes Submitted)

Certificate of NCC215489
Coverage (COC) Enter the Certificate of Coverage Ninber (use capital letters)
No.*
NC Reference No. NCG01-2021-5489
Original NOI No.* 67020
Project information associated with this permit (cannot change):
Permittee Listed
Organizaiton cannot be changed (new OOC required)
Sandy Neck BFR, LLC
Project Name
Sandy Neck Subdivision
Address
Cliffdale Road, Fayetteville, NC
County
Cumberland
Latitude
35.0591
Longitude
-79.0503
Date COC Issued*
10/05/2021
Prior Rescission
This field will populate only if COChas already been rescinded.
Date
Which Contacts
F Billing Only
Have Changed?*
f Legally Responsible Individual Only
f Site Contact Only
r BOTH Legally Responsible Individual and Site Contact
Has Billing Contact
Choose'Yes'torevise Billing Contact details.
Changed?
r No
F Yes
Billing Email
[e-mail]
NEW Billing Email
[e-mail]
Billing Telephone
774-487-1626
No.
NEW Billing
774-487-1626
Telephone No.
(Optional)
Change Requested
Gina from Crawford Design Company
by: *
Include any additional correspondence records in the %pository COCfolder.
Additional Information
for this update to contact information:

Addional
Explanation
(Optional)
Date * 10/05/2021