NCC192150_Contact Update Record_20240911

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 9/11/2024 8:07:38 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC192150
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2019-2150
Original NOI No.* 16570
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Rocky River Road Associates, LLC.
Project Name Farmington Phase 2
Address 5737 Rocky River Road, Crab Orchard Twsp., NC
County Mecklenburg
Latitude 35.2890
Longitude -80.6670
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Prior Rescission Date This field will populate only if COC has already been rescinded.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
NEW Billing Email [e-mail]
Billing Telephone No.
NEW Billing [phone]
Telephone No. (Optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Rick German
(Previous)
Site Contact Title Project Manager
(Previous)

Organization Rocky River Road Associates, LLC.
(Previous)
First Name(New)* Ian
Last Name(New)* Bruce
NEW Site Contact* Reflects any revisions above
Ian Bruce
NEW Site Contact Director of Association Management
Title
NEW Organization MPV Properties
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 704-363-3449
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 2400 South Boulevard,Suite 300, Charlotte,
Address(Previous) NC 28203
NEW Site Contact Street Address
Mailing Address* 2400 South Boulevard
Address Line 2
Suite 300
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
28203 us
Change Requested Ian Bruce via Modification request submitted 9/9/2024 and subsequent emails
by:* clarifying only Billing and Site contacts need update.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 09/11/2024