NCC213551_Contact Update Record_20240617

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 6/17/2024 10:28:01 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC213551
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2021-3551
Original NOI No.* 55245
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
TriPointe Homes
Project Name Commons at Farmington
Address Clear Creek Lane&Farmington Ridge Parkway, Harrisburg, NC
County Cabarrus
Latitude 35.2930
Longitude -80.6730
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Prior Rescission Date This field will populate only if COC has already been rescinded.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 [e-mail]
Billing Telephone No. [phone]
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Luke Woodburn
Individual(Previous)
First Name(New)* Ben
Last Name(New)* Taylor
NEW Legally Reflects any revisions above
Responsible Ben Taylor
Individual*

Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 3436 Toringdon Way,Suite 210, Charlotte,
Address(Previous) NC 28277
NEW Permittee Street Address
Mailing Address* 6325 Ardrey Kell Road
Address Line 2
Suite 125
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
28277 United States
Permittee Street 3436 Toringdon Way,Suite 210, Charlotte,
Address(Previous) NC 28277
NEW Permittee Street Street Address
Address* 6325 Ardrey Kell Road
Address Line 2
Suite 125
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
28277 United States
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Luke Woodburn
(Previous)
Site Contact Title Director of Land Development
(Previous)
Organization TriPointe Homes
(Previous)
First Name(New)* Ben
Last Name(New)* Taylor
NEW Site Contact* Reflects any revisions above
Ben Taylor
NEW Site Contact Director of Land Development
Title

NEW Organization TriPointe Homes
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 803-431-6188
Telephone No.
(Previous)
NEW Site Contact 803-431-6188
Telephone No.*
Site Contact Mailing 3436 Toringdon Way,Suite 210, Charlotte,
Address(Previous) NC 28277
NEW Site Contact Street Address
Mailing Address* 6325 Ardrey Kell Road
Address Line 2
Suite 125
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
28277 United States
Change Requested Jeanine Hay(Land Development Coordinator)via Modification request submitted
by:* 6/13/2024.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 06/17/2024