NCC205752_Contact Update Record_20231204

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 12/4/2023 11:37:20 AM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC205752
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2020-5752
Original NOI No.* 38841
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
MICAS Cherry Point
Project Name Install New Fence Family housing
Address Jackson Drive, Havelock, NC
County Craven
Latitude 34.8890
Longitude -76.9116
Date COC Issued* 12/15/2020
Prior Rescission Date This field will populate only if COC has already been rescinded.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
Yes
Billing Email
NEW Billing Email [e-mail]
Billing Telephone No.
NEW Billing [phone]
Telephone No. (optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Nathan Arnett
(Previous)
Site Contact Title Environmental Engineer
(Previous)

Organization MCAS Environmental Affairs Department
(Previous)
First Name(New)* Timothy
Last Name(New)* Lawrence
NEW Site Contact* Reflects any revisions above
Timothy Lawrence
NEW Site Contact
Title
NEW Organization MCAS Environmental Affairs Department
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 252-466-5271
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing Building 4223,0,Cherry Point, NC 28533-
Address(Previous) 0006
NEW Site Contact Street Address
Mailing Address* PSC Box 8006
Address Line 2
Bldg 4223,Access Rd.
City State/Province/Region
Cherry Point NC
Postal/Zip Code Country
28533-0006 United States
Change Requested Anthony Ference and Shea McMurry on 12/1 and 12/4/2023 via e-mail.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 12/04/2023