NCC214332_Contact Update Record_20240715

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 7/15/2024 1:23:26 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC214332
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2021-4332
Original NOI No.* 60017
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
NNP IV-Cape Fear River,LLC
Project Name Riverlights MX 3
Address 4410 River Rd,Wilmington, NC
County New Hanover
Latitude 34.1354
Longitude -77.9195
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Prior Rescission Date This field will populate only if COC has already been rescinded.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. 910-405-1234
NEW Billing 910-338-1741
Telephone No. (Optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Kenny Johnson
(Previous)
Site Contact Title Project Manager
(Previous)

Organization NNP IV-Cape Fear River, LLC
(Previous)
First Name(New)* Michael
Last Name(New)* Phillips
NEW Site Contact* Reflects any revisions above
Michael Phillips
NEW Site Contact Project Manager
Title
NEW Organization NNP IV-Cape Fear River, LLC
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 9104432355
Telephone No.
(Previous)
NEW Site Contact 9103381741
Telephone No.*
Site Contact Mailing 109 Pier Master Point Suite 209,0,
Address(Previous) Wilmington, NC 28412
NEW Site Contact Street Address
Mailing Address* 109 Pier Master Point Suite 100
Address Line 2
City State/Province/Region
Wilmington NC
Postal/Zip Code Country
28412 United States
Change Requested Michael Phillips, Project Manager,via email on 7/5/24
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 07/15/2024