NCC231326_Contact Update Record (Correction)_20230525

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 5/25/2023 8:06:07 AM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC231326
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2023-1326
Original NOI No.* 140001
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
NVR Inc.
Project Name Lakes at Riverbend—Phase 1 -Lots 263-266
Address Cedar Hill Rd, Leland, NC
County Brunswick
Latitude 34.2840
Longitude -78.0260
Date COC Issued* 05/05/2023
Prior Rescission Date This field will populate only if COC has already been rescinded.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. 617-549-7596
NEW Billing [phone]
Telephone No. (optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Chris Reisch
Individual(Previous)
First Name(New)* Chris
Last Name(New)* Riesch

NEW Legally Reflects any revisions above
Responsible Chris Riesch
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 2050 Corporate Center Drive Suite 200, 0,
Address(Previous) Myrtle Beach,South Carolina 29577
NEW Permittee Street Address
Mailing Address* 2050 Corporate Center Drive Suite 200
Address Line 2
City State/Province/Region
Myrtle Beach South Carolina
Postal/Zip Code Country
29577 United States
Permittee Street 2050 Corporate Center Drive Suite 200, 0,
Address(Previous) Myrtle Beach,South Carolina 29577
NEW Permittee Street Street Address
Address* 2050 Corporate Center Drive Suite 200
Address Line 2
City State/Province/Region
Myrtle Beach South Carolina
Postal/Zip Code Country
29577 United States
Change Requested Corrections to Chris Riesch's name and email address only. Information provided by
by:* Jon Vecchiarelli via e-mail on 5/25/2023.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 05/25/2023