HomeMy WebLinkAboutNCC210451_Contact Update Record (Site Contact)_20230320Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by bethany.georgoulias 3/20/2023 11:24:18 AM (Contact Changes Submitted)
Certificate of NCC210451
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2021-0451
Original NOI No.* 41703
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Leoterra Development Inc
Project Name Corinth Village Phase 5
Address 2400 YY Wilpar Drive, Greensboro, NC
County Guilford
Latitude 36.0317
Longitude-79.7565
Date COC Issued* 01/26/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.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? Q No
0 Yes
Billing Email
NEW Billing Email kat.lyons@leoterradevelopment.com
Billing Telephone No.
NEW Billing (336) 682-1414
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Christopher Lyons
Individual (Previous)
First Name (New)* Christopher
Last Name (New) * Lyons
NEW Legally Reflects any revisions above
Responsible Christopher Lyons
Individual*
Permittee Email kye.bunker@leoterradevelopment.com
(Previous)
NEW Permittee buddy.lyons@leoterradevelopment.com
Email*
Permittee Telephone 3364863653
No. (Previous)
NEW Permittee (336) 4863653
Telephone No.*
Permittee Mailing 110-A Shields Park Drive, 0, Kernersville, NC
Address (Previous) 27284
NEW Permittee Street Address
Mailing Address* 110-A Shields Park Drive
Address Line 2
City
State / Province / Region
Kernersville
NC
Postal / Zip Code
Country
27284
United States
Permittee Street 110-A Shields Park Drive, 0, Kernersville, NC
Address (Previous) 27284
NEW Permittee Street Street Address
Address * 110-A Shields Park Drive
Address Line 2
City State / Province / Region
Kernersville NC
Postal / Zip Code Country
27284 United States
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Jared Sink
(Previous)
Site Contact Title Construction Manager
(Previous)
Organization Leoterra Development Inc
(Previous)
First Name (New)* Kat
Last Name (New) * Lyons
NEW Site Contact* Reflects any revisions above
Kat Lyons
NEW Site Contact
Senior Director of Entitlements
Title
NEW Organization
Leoterra Development Inc
This field is not required on the NOI form and may not pre -populate.
Site Contact Email
jared.sink@leoterradevelopment.com
(Previous)
NEW Site Contact kat.lyons@leoterradevelopment.com
Email*
Site Contact 3369785500
Telephone No.
(Previous)
NEW Site Contact (336) 682-1414
Telephone No.*
Site Contact Mailing 110-A Shields Park Drive, 0, Kernersville, NC
Address (Previous) 27284
NEW Site Contact Street Address
Mailing Address* 110-A Shields Park Drive
Address Line 2
City
State / Province / Region
Kernersville
NC
Postal / Zip Code
Country
27284
United States
Change Requested Jason Cheek via email requesting site contact updates on 3/10/2023. Email for
by: * current legally responsible individual updated.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 03/20/2023