NCC217073_Contact Update Record (Legally Resp and Site Contact)_20221025

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 10/25/2022 9:43:11 AM (Contact Changes Submitted)

Certificate of NCC217073
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2021-7073
Original NOI No.* 76107
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
DR Horton Inc.
Project Name Erynndale - DR Horton Lots
Address 4402 Kendale Road, High Point, NC
County Guilford
Latitude 36.0448
Longitude-80.0034
Date COC Issued* 12/21/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.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.
919-215-6561
NEW Billing
[phone]
Telephone No.
(Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Jessica Meyer
Individual (Previous)
First Name (New)* Tracey
Last Name (New) * Davis

NEW Legally Reflects any revisions above
Responsible Tracey Davis
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 2000 Aerial Center Parkway, 0, Morrisville,
Address (Previous) NC 27560-9294
NEW Permittee Street Address
Mailing Address* 7208 Falls of Neuse Road
Address Line 2
Suite 201
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27615
us
Permittee Street 2000 Aerial Center Parkway, 0, Morrisville,
Address (Previous) NC 27560-9294
NEW Permittee Street Street Address
Address* 7208 Falls of Neuse Road
Address Line 2
Suite 201
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27615
us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Matt Tanner
(Previous)
Site Contact Title Division NPDES Technical Compliance Adminstrator
(Previous)
Organization DR Horton Inc
(Previous)
First Name (New)* Tracey
Last Name (New) * Davis

NEW Site Contact* Reflects any revisions above
Tracey Davis
NEW Site Contact Division NPDES Adminstrator
Title
NEW Organization DR Horton Inc
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 336-337-2594
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 4150 Mendenhall Oaks Parkway, 0, High
Address (Previous) Point, NC 27265
NEW Site Contact Street Address
Mailing Address* 7208 Falls of Neuse Road
Address Line 2
Suite 201
City
State / Province / Region
High Point
NC
Postal / Zip Code
Country
27615
us
Change Requested Tracey Davis via Modification request submitted 10/18/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 10/25/2022