NCC190553_Contact Update Record_20201204

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Georgoulias, Bethany 12/4/2020 5:09:00 PM (Contact Changes Submitted)

Certificate of NCC190553
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
NC Reference No. NCG01-2019-0553
Original NOI No.* 11900
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new OOC required)
Robinson Village Charlotte, LLC
Project Name
Robinson Village
Address
Brawley Lane, Charltotte, NC
County
Mecklenburg
Latitude
35.2430
Longitude
-80.6720
Date COC Issued*
06/10/2019
Prior Rescission
This field will populate only if COChas already been rescinded.
Date
Which Contacts
r Legally Responsible Individual Only
Have Changed?*
f• Site Contact Only
r BOTH Legally Responsible Individual and Site Contact
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact David Re)Toad
(Previous)
Site Contact Title Land Development Manager
(Previous)
Organization R2 Development
(Previous)
First Name (New)* Bob
Last Name (New)* Hogan
NEW Site Contact * Pleflects any revisions above
Bob Hogan
NEW Site Contact
Title

NEW Organization R2 Development
This field is not required on the N01 form and nay not pre -populate.
Site Contact Email dre)[e-mail]
(Previous)
NEW Site Contact [e-mail]
Email*
Site Contact 7045769620
Telephone No.
(Previous)
NEW Site Contact 7045769620
Telephone No.*
Site Contact Mailing 517 Alcove Road, 0, Mooresville, NC 28117-
Address (Previous) 8574
NEW Site Contact
Mailing Address*
Street Address
517 Alcove Road
Address Line 2
City
Mooresville
Fbstal / Zip Code
28117-8574
State / Rovince / Fbgion
NC
Country
us
Change Requested Toby Robinson via e-mail on 11/6/2020.
by: * Include any additional correspondence records in the Fbpository ODCfolder.
Additional Information for this update to contact information:
Addional
Explanation
(Optional)
Date * 12/04/2020