NCC232205_Contact Update Record (Billing)_20240821

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 8/21/2024 9:22:52 AM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC232205
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2023-2205
Original NOI No.* 151029
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
No Hotel, LLC
Project Name Flats on Peters Creek
Address Peters Creek Parkway,Winston-Salem, NC
County Forsyth
Latitude 36.0840
Longitude -80.2583
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Prior Rescission Date This field will populate only if COC has already been rescinded.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. 336-409-0994
NEW Billing [phone]
Telephone No. (Optional)
Change Requested Wil Warren via email on 8/21/2024.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 08/21/2024