NCC222277_Contact Update Record (Site Contact)_20220707

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 7/7/2022 1:37:28 PM (Contact Changes Submitted)

Certificate of NCC222277
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2022-2277
Original NOI No.* 94569
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Hutton Charlotte Tryon NC ST, LLC
Project Name ModWash - North Tryon
Address 11440 N Tryon Street, Charlotte, NC
County Mecklenburg
Latitude 35.0000
Longitude-81.0000
Date COC Issued * 06/22/2022
Prior Rescission Date This field will populate only if COC has already been rescinded.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.
423-756-9267
NEW Billing
[phone]
Telephone No.
(Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Douglas J. Kyle
Individual (Previous)
First Name (New)* Douglas J.
Last Name (New) * Kyle

NEW Legally Reflects any revisions above
Responsible Douglas J. Kyle
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 736 Cherry Street, 0, Chattanooga, TN
Address (Previous) 37402-1909
NEW Permittee Street Address
Mailing Address* 736 Cherry Street
Address Line 2
City
State / Province / Region
Chattanooga
TN
Postal / Zip Code
Country
37402-1909
us
Permittee Street 736 Cherry Street, 0, Chattanooga, TN
Address (Previous) 37402-1909
NEW Permittee Street Street Address
Address* 736 Cherry Street
Address Line 2
City
State / Province / Region
Chattanooga
TN
Postal / Zip Code
Country
37402-1909
us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Luke Hanson
(Previous)
Site Contact Title Development Project Manager
(Previous)
Organization
(Previous)
First Name (New)* Devin
Last Name (New) * Baker
NEW Site Contact* Reflects any revisions above
Devin Baker

NEW Site Contact Development Project Engineer
Title
NEW Organization Hutton Charlotte Tryon NC ST, LLC
This field is not required on the NOI form and may not pre -populate.
Site Contact Email [e-mail]
(Previous)
NEW Site Contact [e-mail]
Email*
Site Contact 423-756-9267
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 736 Cherry Street, 0, Chattanooga, TN
Address (Previous) 37402-1909
NEW Site Contact Street Address
Mailing Address* 736 Cherry Street
Address Line 2
City
State / Province / Region
Chattanooga
TN
Postal / Zip Code
Country
37402-1909
us
Change Requested Kyra Schneider via e-mail on 7/6/2022 and Devin Baker via e-mail on 7/5/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation E-mail address for responsible individual was also updated (but person did not
(Optional) change). Billing contact email was where we entered the additional contact point
requested (dyoung).
Date * 07/07/2022