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HomeMy WebLinkAboutNCC211366_Contact Update Record_20240425 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by bethany.georgoulias 4/25/2024 1:22:37 PM (Contact Changes Submitted) Contact • - for • • • ONLY) updatesThis form • . . Certificate of NCC211366 Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters) NC Reference No. NCG01-2021-1366 Original NOI No.* 46225 Project information associated with this permit(cannot change): Permittee Listed Organizaiton cannot be changed(new COC required) DR Horton, Inc. Project Name Cambridge Park PH 2-DR Horton Lots Address 1106 Hardwick Drive, Mebane, NC County Alamance Latitude 36.0499 Longitude -79.2947 Date COC Issued* 04/01/2024 Prior Rescission Date This field will populate only if COC has already been rescinded.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 tmdavis1@drhorton.com NEW Billing Email nruldrick@drhorton.com Billing Telephone No. (919)497-2163 NEW Billing (336)899-9240 Telephone No. (optional) Legally Responsible Individual Contact Information REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES! Legally Responsible Tracey Davis Individual(Previous) First Name(New)* Neil Last Name(New)* Uldrick NEW Legally Reflects any revisions above Responsible Neil Uldrick Individual* Permittee Email tmdavis1@drhorton.com (Previous) NEW Permittee nruldrick@drhorton.com Email* Permittee Telephone (919)497-2163 No.(Previous) NEW Permittee (336)899-9240 Telephone No.* Permittee Mailing 7208 Falls of Neuse Road, Suite 201, Address(Previous) Raleigh, NC 27615 NEW Permittee Street Address Mailing Address* 4150 Mendenhall Oaks Parkway Address Line 2 City State/Province/Region High Point NC Postal/Zip Code Country 27265 US Permittee Street 7208 Falls of Neuse Road, Suite 201, Address(Previous) Raleigh, NC 27615 NEW Permittee Street Street Address Address* 4150 Mendenhall Oaks Parkway Address Line 2 City State/Province/Region High Point NC Postal/Zip Code Country 27265 US Site Contact Information REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES! Site Contact Tracey Davis (Previous) Site Contact Title Division NPDES Administrator (Previous) Organization DR Horton, Inc. (Previous) First Name(New)* Neil Last Name(New)* Uldrick NEW Site Contact* Reflects any revisions above Neil Uldrick NEW Site Contact Division Stormwater Compliance Specialist III Title NEW Organization DR Horton, Inc. This field is not required on the NOI form and may not pre-populate. Site Contact Email tmdavis1@drhorton.com (Previous) NEW Site Contact nruldrick@drhorton.com Email* Site Contact (919)497-2163 Telephone No. (Previous) NEW Site Contact (336)899-9240 Telephone No.* Site Contact Mailing 2000 Aerial Center Parkway,Suite 110A, Address(Previous) Morrisville, NC 27560-9294 NEW Site Contact Street Address Mailing Address* 4150 Mendenhall Oaks Parkway Address Line 2 City State/Province/Region High Point NC Postal/Zip Code Country 27265 US Change Requested Neil Uldrick via Modification request submitted 4/22/2024. by:* Include any additional correspondence records in the Repository COC folder. Additional Information for this update to contact information: Addional Explanation (Optional) Date* 04/25/2024