NCC230120_Contact Update Record_20240627

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 6/27/2024 4:02:20 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC230120
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2023-0120
Original NOI No.* 122517
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Tribute Investment&Development, LLC
Project Name Townhomes at Scott's Hill
Address Highway 17, Hampstead, NC
County Pender
Latitude 34.3470
Longitude -77.7330
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Prior Rescission Date This field will populate only if COC has already been rescinded.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
n Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 910-777-4192
NEW Billing 910-251-5030
Telephone No. (Optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Patrick Hudson
(Previous)
Site Contact Title Project Manager
(Previous)

Organization Tribute Construction, Inc.
(Previous)
First Name(New)* Patrick
Last Name(New)* Hudson
NEW Site Contact* Reflects any revisions above
Patrick Hudson
NEW Site Contact Construction Manager
Title
NEW Organization Tribute Construction, Inc.
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 919-368-2991
Telephone No.
(Previous)
NEW Site Contact 919-368-2991
Telephone No.*
Site Contact Mailing 1442 Military Cutoff Rd,Suite 30,Wilmington,
Address(Previous) NC 28403
NEW Site Contact Street Address
Mailing Address* 332 Military Cutoff Rd.
Address Line 2
City State/Province/Region
Wilmington NC
Postal/Zip Code Country
28405 USA
Change Requested Kiehli Gore, I&D Support Specialist,via email on 6/27/24
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 06/27/2024