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Prior Rescission Date This field will populate only if COC has already been rescinded.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