NCC232048_Contact Update Record (LEG RESP CHANGE)_20240702

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 7/2/2024 11:50:06 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC232048
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2023-2048
Original NOI No.* 148651
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
DR Horton, Inc
Project Name Cedar Oaks South Phase 2
Address 5616 ZZ N Church St.,Center Grove, NC
County Guilford
Latitude 36.1976
Longitude -79.7758
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Prior Rescission Date This field will populate only if COC has already been rescinded.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 [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 336-239-9896
NEW Billing [phone]
Telephone No. (optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Jonathan Cook
Individual(Previous)
First Name(New)* Neil
Last Name(New)* Uldrick

NEW Legally Reflects any revisions above
Responsible Neil Uldrick
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 4150 Mendenhall Oaks Parkway,Suite 101,
Address(Previous) High Point, NC 27265-8419
NEW Permittee Street Address
Mailing Address* 4150 Mendenhall Oaks Parkway
Address Line 2
Suite 101
City State/Province/Region
High Point NC
Postal/Zip Code Country
27265-8419 US
Permittee Street 4150 Mendenhall Oaks Parkway,Suite 101,
Address(Previous) High Point, NC 27265-8419
NEW Permittee Street Street Address
Address* 4150 Mendenhall Oaks Parkway
Address Line 2
Suite 101
City State/Province/Region
High Point NC
Postal/Zip Code Country
27265-8419 US
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Jonathan Cook
(Previous)
Site Contact Title Project Manager
(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 [e-mail]
(Previous)
NEW Site Contact [e-mail]
Email*
Site Contact 336-239-9896
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 4150 Mendenhall Oaks Parkway,Suite 101,
Address(Previous) High Point, NC 27265-8419
NEW Site Contact Street Address
Mailing Address* 4150 Mendenhall Oaks Parkway
Address Line 2
Suite 101
City State/Province/Region
High Point NC
Postal/Zip Code Country
27265-8419 US
Change Requested Neil Uldrick via Modification request submitted 7/2/2024.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 07/02/2024