NCC212159_Contact Update Record_20230605

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 6/5/2023 2:36:04 PM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC212159
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2021-2159
Original NOI No.* 49778
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Baker Residential of the Carolinas, LLC
Project Name Dominion Estates
Address Green Level West Road,Cary, NC
County Wake
Latitude 35.7746
Longitude -78.9213
Date COC Issued* 04/12/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.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
0 Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 919-694-7602
NEW Billing 919-398-3371
Telephone No. (Optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Jeff Havener
(Previous)
Site Contact Title Director of Land Development
(Previous)

Organization Baker Residential
(Previous)
First Name(New)* Gray
Last Name(New)* Methven
NEW Site Contact* Reflects any revisions above
Gray Methven
NEW Site Contact Director of Land Development
Title
NEW Organization Baker Residential
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 919-694-7602
Telephone No.
(Previous)
NEW Site Contact 919-398-3371
Telephone No.*
Site Contact Mailing 401 Harrison Oaks Boulevard,Suite 140,
Address(Previous) Cary, NC 27513-9507
NEW Site Contact Street Address
Mailing Address* 7001 Weston Parkway Suite 150
Address Line 2
City State/Province/Region
Cary NC
Postal/Zip Code Country
27513 us
Change Requested Dylan Miller requested change via email on 6/1/2023.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 06/05/2023