NCC190694_Contact Update Record (Billing Only)_20220706

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 7/6/2022 9:05:07 AM (Contact Changes Submitted)

Certificate of NCC190694
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2019-0694
Original NOI No.* 12710
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Moncure Investments, LLC
Project Name Moncure Hills Subdivision
Address Lower Moncure Road, Sanford, NC
County Lee
Latitude 35.4920
Longitude-79.1547
Date COC Issued * 06/24/2019
Prior Rescission Date This field will populate only if COC has already been rescinded.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? No
• Yes
Billing Email
NEW Billing Email
Billing Telephone No.
NEW Billing
Telephone No.
[e-mail]
[phone]
(Optional)
Change Requested Pamela Caviness via e-mail on 7/6/2022 (originally requested 10/29/2020 but
by: * mistakenly not completed)
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 07/06/2022