NCC231457_Contact Update Record (Site Contact)_20240507

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 5/7/2024 8:41:31 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC231457
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2023-1457
Original NOI No.* 140965
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Toll Bros.,lnc.
Project Name Rollingdale
Address 602 West NC 57 HWY, Durham, NC
County Durham
Latitude 35.9145
Longitude -78.9489
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Prior Rescission Date This field will populate only if COC has already been rescinded.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? No
Yes
Billing Email [e-mail]
Billing Telephone No. 919 524-0077
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Brian Morris
(Previous)
Site Contact Title Superintendent
(Previous)
Organization Marks Clearing and Grading
(Previous)
First Name(New)* Antonio

Last Name(New)* Ray
NEW Site Contact* Reflects any revisions above
Antonio Ray
NEW Site Contact Asst. Land Development Manager
Title
NEW Organization Toll Southeast LP Company, Inc. (Toll Brothers)
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 252 814-5845
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 115 East Third Street,0,Wendell, North
Address(Previous) Carolina 27591
NEW Site Contact Street Address
Mailing Address* 900 Perimeter Park Drive
Address Line 2
Suite B3
City State/Province/Region
Morrisville NC
Postal/Zip Code Country
27560 USA
Change Requested Janet Boucher(Sr Land Development Administrator,Toll Brothers)via email on
by:* 5/6/2024.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 05/07/2024