NCC204566_Contact Update Record (Billing Only)_20221103

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 11/3/2022 10:04:27 AM (Contact Changes Submitted)

Certificate of NCC204566
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2020-4566
Original NOI No.* 32752
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Military & Federal Construction Company, Inc.
Project Name Landing at Stump Sound
Address Hardison Road, Holly Ridge, NC
County Onslow
Latitude 34.4848
Longitude-77.5110
Date COC Issued * 10/12/2020
Prior Rescission Date This field will populate only if COC has already been rescinded.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 Betty White (Office Manager, Military & Federal Construction Co., Inc.) via email on
by: * 11 /2/2022.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 11 /03/2022