NCC190048_Contact Update Record_20201208

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany 12/8/2020 12:17:32 PM (Contact Changes Submitted)

Certificate of NCC190048
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
NC Reference No. NCG01-2019-0048
Original NOI No.* 10172
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new OOC required)
Mattamy Carolina Corporation
Project Name
Cadence Mint Hill Phases 2 - 4
Address
8841 Fairview, Mint Hill, NC
County
Mecklenburg
Latitude
38.1811
Longitude
-80.6333
Date COC Issued*
04/16/2019
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This field will populate only if COChas already been rescinded.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
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Joe Walker
Individual
(Previous)
First Name (New)*
Brian
Last Name (New) *
Johnson
NEW Legally
Pleflects any revisions above
Responsible
Brian Johnson
Individual*
Permittee Email
[e-mail]
(Previous)
NEW Permittee
[e-mail]
Email *

Permittee
704.361.8251
Telephone No.
(Previous)
NEW Permittee
704-507-7547
Telephone No.*
Permittee Mailing
2025 Ayrsley Town Boulevard, Suite 1104,
Address (Previous)
Charlotte, NC 28273
NEW Permittee Street Address
Mailing Address* 2127 Ayrsley Town Boulevard
Address Line 2
Suite 202
aty
Charlotte
Fbstal / Zip Code
28273
Permittee Street 2025 Ayrsley Town Boulevard, Suite 1104,
Address (Previous) Charlotte, NC 28273
NEW Permittee Street Address
Street Address* 2127 Ayrsley Town Boulevard
Address Line 2
Suite 202
Qty
Charlotte
Fbstal / Zip Code
28273
State / Rovince / f;bgion
NC
Country
us
State / Rovince / Region
NC
Country
us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Joe Walker
(Previous)
Site Contact Title
(Previous)
Organization
(Previous)
First Name (New)* Brian
Last Name (New) * Johnson
NEW Site Contact* Reflects any revisions above
Brian Johnson
NEW Site Contact Vice President
Title
NEW Organization Mattamy Carolina Corporation
This field is not required on the NOI form and nay not pre -populate.
Site Contact Email [e-mail]
(Previous)

NEW Site Contact [e-mail]
Email*
Site Contact 704.361-8251
Telephone No.
(Previous)
NEW Site Contact 704-507-7547
Telephone No.*
Site Contact Mailing 2025 Ayrsley Town Boulevard, Suite 1104,
Address (Previous) Charlotte, NC 28273
NEW Site Contact Street Address
Mailing Address* 2127 Ayrsley Town Boulevard
Address Line 2
Suite 202
Cty
Charlotte
Fbstal / Zip Code
28273
State / Rovince / Fbgion
NC
Country
us
Change Requested Brian Johnson via Modification request submitted 12/8/2020.
by: * Include any additional correspondence records in the Pepository CDC folder.
Additional Information for this update to contact information:
Addional
Explanation
(Optional)
Date * 12/08/2020