NCC221059_Contact Update Record (Site Contact and Billing)_20230303

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by bethany.georgoulias 3/3/2023 10:50:39 AM (Contact Changes Submitted)

Certificate of NCC221059
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2022-1059
Original NOI No.* 84064
Project information associated with this permit (cannot change):
Permittee Listed
Organizaiton cannot be changed (new COC required)
The Trustees of Wake Technical Community College
Project Name
Wake Technical Community College - Public Safety Simulation Complex
Address
5401 Rolesville Road, Wendell, NC
County
Wake
Latitude
35.8065
Longitude-78.4180
Date COC Issued* 03/15/2022
Prior Rescission Date This field will populate only if COC has already been rescinded.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?
Q No
0 Yes
Billing Email
[e-mail]
NEW Billing Email
[e-mail]
Billing Telephone No.
919-866-5148
NEW Billing
[phone]
Telephone No.
(Optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Daniel Edwards
(Previous)
Site Contact Title Project Manager
(Previous)

Organization Wake Technical Community College
(Previous)
First Name (New)* Walter
Last Name (New)* Lennon
NEW Site Contact* Reflects any revisions above
Walter Lennon
NEW Site Contact Project Manager
Title
NEW Organization Wake Technical Community College
This field is not required on the NOI form and may not pre -populate.
Site Contact Email [e-mail]
(Previous)
NEW Site Contact
Email*
[e-mail]
Site Contact
9198666167
Telephone No.
(Previous)
NEW Site Contact
[phone]
Telephone No.*
Site Contact Mailing
9101 Fayetteville Road, 0, Raleigh, NC
Address (Previous)
27603-5655
NEW Site Contact Street Address
Mailing Address* 9101 Fayetteville Road
Address Line 2
Bldg. ST 201 E
City
Raleigh
Postal / Zip Code
27603
State / Province / Region
NC
Country
us
Change Requested Walter Lennon and Deborah Hutchins (Construction Project Specialist) on 3/1 and
by: * 3/3/2023, respectively.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 03/03/2023