NCC190956_Contact Update Record (Billing)_20220808

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 8/8/2022 9:42:30 AM (Contact Changes Submitted)

Certificate of NCC190956
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2019-0956
Original NOI No.* 13345
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Van Camp Trust
Project Name Erosion Control for Morganton Park West
Address Morganton Road, Southern Pines, NC
County Moore
Latitude 35.1774
Longitude-79.4219
Date COC Issued * 07/15/2019
Prior Rescission Date This field will populate only if COC has already been rescinded.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 [e-mail]
Billing Telephone No.
NEW Billing [phone]
Telephone No. (Optional)
Change Requested Nadine Azzolini via e-mail on 8/3/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation Carolina Commercial Property Management (Management co. for property)
(Optional) 375 Pinehurst Avenue, Suite 6
Southern Pines, NC 28387

Date * 08/08/2022