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HomeMy WebLinkAboutNCC222545_Contact Update Record_20240227 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Tev.Holloman 2/27/2024 8:38:08 AM (Contact Changes Submitted) Contact • - for • • • ONLY) updatesThis form • . . Certificate of NCC222545 Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters) NC Reference No. NCG01-2022-2545 Original NOI No.* 97258 Project information associated with this permit(cannot change): Permittee Listed Organizaiton cannot be changed(new COC required) City of Charlotte Project Name West Mallard Creek Church Road Shared Use Path Address West Mallard Creek Church Road,Charlotte, NC County Mecklenburg Latitude 35.3415 Longitude -80.7675 Date COC Issued* 07/15/2022 Prior Rescission Date This field will populate only if COC has already been rescinded.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 n Yes Billing Email natalie.king@charlottenc.gov NEW Billing Email ronak.patel@charlottenc.gov Billing Telephone No. 9804029004 NEW Billing 9802970059 Telephone No. (Optional) Site Contact Information REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES! Site Contact Natalie King (Previous) Site Contact Title Project Manager (Previous) Organization (Previous) First Name(New)* Ronakkumar Last Name(New)* Patel NEW Site Contact* Reflects any revisions above Ronakkumar Patel NEW Site Contact Project Manager Title NEW Organization This field is not required on the NOI form and may not pre-populate. Site Contact Email natalie.king@charlottenc.gov (Previous) NEW Site Contact ronak.patel@charlottenc.gov Email* Site Contact 9804029004 Telephone No. (Previous) NEW Site Contact 980297-0059 Telephone No.* Site Contact Mailing 600 East 4th Street,0,Charlotte, NC 28202- Address(Previous) 2816 NEW Site Contact Street Address Mailing Address* 600 East 4th Street Address Line 2 City State/Province/Region Charlotte NC Postal/Zip Code Country 28202-2816 us Change Requested Ronak Patel, Sr Engineer/PM,via email on 2/27/24 by:* Include any additional correspondence records in the Repository COC folder. Additional Information for this update to contact information: Addional Explanation (Optional) Date* 02/27/2024