NCC220948_Contact Update Record (Site Contact)_20231027

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 10/27/2023 7:10:26 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC220948
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-0948
Original NOI No.* 83104
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Savona Resi Project LLC
Project Name Savona Mill Renovation
Address 200 S.Turner Avenue, Charlotte, NC
County Mecklenburg
Latitude 35.2426
Longitude -80.8677
Date COC Issued* 03/04/2022
Prior Rescission Date This field will populate only if COC has already been rescinded.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]
Billing Telephone No. 404-614-5267
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact John Farmer
(Previous)
Site Contact Title Vice President of Construction
(Previous)
Organization Portman Holdings LLC
(Previous)
First Name(New)* Matt

Last Name(New)* Gragg
NEW Site Contact* Reflects any revisions above
Matt Gragg
NEW Site Contact Senior Project Manager
Title
NEW Organization Elford Inc.
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 678-427-9856
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 303 Peachtree Center Avenue Northeast,
Address(Previous) Suite 575,Atlanta,GA 30303
NEW Site Contact Street Address
Mailing Address* 10130 Perimeter Parkway
Address Line 2
Suite 425
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
28216 us
Change Requested Bill Anderson(Portman Holdings/Residentials, Savona Resi Project, LLC,VP of
by:* Construction)via e-mail on 10/26/2023.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 10/27/2023