NCC200953_Contact Update Record_20240506

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 5/6/2024 3:16:38 PM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC200953
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2020-0953
Original NOI No.* 22968
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
HHHunt Corporation of NC
Project Name Liberty Crossing
Address 10236 Old Statesville Road,Charlotte, NC
County Mecklenburg
Latitude 35.3618
Longitude -80.8232
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Prior Rescission Date This field will populate only if COC has already been rescinded.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
Yes
Billing Email
NEW Billing Email [e-mail]
Billing Telephone No.
NEW Billing [phone]
Telephone No. (optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Stephen Fritz
Individual(Previous)
First Name(New)* Paul
Last Name(New)* Wetmore

NEW Legally Reflects any revisions above
Responsible Paul Wetmore
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 1401 Sunday Drive, Suite 109, Raleigh, NC
Address(Previous) 27607-5173
NEW Permittee Street Address
Mailing Address* 1 Fenton Main Street
Address Line 2
Suite 280
City State/Province/Region
Cary NC
Postal/Zip Code Country
27511 us
Permittee Street 1401 Sunday Drive, Suite 109, Raleigh, NC
Address(Previous) 27607-5173
NEW Permittee Street Street Address
Address* 1 Fenton Main Street
Address Line 2
Suite 280
City State/Province/Region
Cary NC
Postal/Zip Code Country
27511 us
Change Requested Ryan Kirchner(Assistant Project Manager, HHHunt of North Carolina, Inc.)via
by:* Modification request submitted 5/2/2024
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 05/06/2024