NCC193231_Contact Update Record_20230703

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 7/3/2023 8:08:42 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC193231
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2019-3231
Original NOI No.* 19649
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Garman Homes
Project Name Wendell Falls Garman Homes Lots
Address 320 Vintage Point Lane,Wendell, NC
County Wake
Latitude 35.7713
Longitude -78.4284
Date COC Issued* 12/18/2019
Prior Rescission Date This field will populate only if COC has already been rescinded.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
4) Yes
Billing Email
NEW Billing Email [e-mail]
Billing Telephone No.
NEW Billing [phone]
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Steve Campbell
Individual(Previous)
First Name(New)* Stacy
Last Name(New)* Brown

NEW Legally Reflects any revisions above
Responsible Stacy Brown
Individual*
Permittee Email Steve@garman homes.biz
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 3725 Stonegate Drive,0, Durham, NC 27705-
Address(Previous) 5477
NEW Permittee Street Address
Mailing Address* 2052 Renaissance Park Place
Address Line 2
Suite 200
City State/Province/Region
Cary NC
Postal/Zip Code Country
27513 us
Permittee Street 3725 Stonegate Drive,0, Durham, NC 27705-
Address(Previous) 5477
NEW Permittee Street Street Address
Address* 2052 Renaissance Park Place
Address Line 2
Suite 200
City State/Province/Region
Cary NC
Postal/Zip Code Country
27513 us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Steve Campbell
(Previous)
Site Contact Title Construction Manager
(Previous)
Organization Garman Homes
(Previous)
First Name(New)* Stacy
Last Name(New)* Brown

NEW Site Contact* Reflects any revisions above
Stacy Brown
NEW Site Contact Division President
Title
NEW Organization Garman Homes
This field is not required on the NOI form and may not pre-populate.
Site Contact Email [e-mail]
(Previous)
NEW Site Contact [e-mail]
Email*
Site Contact 919-812-5560
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 3725 Stonegate Drive,0, Durham, NC 27705-
Address(Previous) 5477
NEW Site Contact Street Address
Mailing Address* 2052 Renaissance Park Place
Address Line 2
Suite 200
City State/Province/Region
Cary NC
Postal/Zip Code Country
27513 us
Change Requested Stacy Brown via Modification request submitted 6/26/2023.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 07/03/2023