HomeMy WebLinkAboutNCC220643_Contact Update Record (Site Contact)_20230320Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by bethany.georgoulias 3/20/2023 12:57:57 PM (Contact Changes Submitted)
Certificate of
NCC220643
Coverage (COC) No.*
Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No.
NCG01-2022-0643
Original NOI No.*
80605
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Stoney Creek Partners, LLC
Project Name Gantwood at Stoney Creek
Address 6411 GROGAN HILL RD, Whitsett, NC
County Guilford
Latitude 36.0818
Longitude-79.5997
Date COC Issued * 02/25/2022
Prior Rescission Date This field will populate only if COC has already been rescinded.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 buddy.lyons@leoterradevelopment.com
NEW Billing Email
kat.lyons@leoterradevelopment.com
Billing Telephone No.
3364863653
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 buddy.lyons@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 Kye Bunker
(Previous)
Site Contact Title
(Previous)
Organization
(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 kye.bunker@leoterradevelopment.com
(Previous)
NEW Site Contact kat.lyons@leoterradevelopment.com
Email*
Site Contact 3364863653
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.
by: * 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