NCC200474_Contact Update Record_20210419

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany 4/19/2021 10:23:54 AM (Contact Changes Submitted)

Certificate of NCC200474
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
NC Reference No. NCG01-2020-0474
Original NOI No.* 21572
Project information associated with this permit (cannot change):
Permittee Listed
Organizaiton cannot be changed (new OOC required)
Meadowlands Development, LLC
Project Name
Meadowlands Wakefield V Lots
Address
Prescott Dr., Abbots Creek, NC
County
Davidson
Latitude
35.9974
Longitude
-80.1651
Date COC Issued*
02/12/2020
Prior Rescission
This field will populate only if COChas already been rescinded.
Date
Which Contacts
F Billing Only
Have Changed?*
f Legally Responsible Individual Only
f Site Contact Only
r BOTH Legally Responsible Individual and Site Contact
Has Billing Contact
Choose'Yes'torevise Billing Contact details.
Changed?
r No
r Yes
Billing Email
NEW Billing Email [e-mail]
Billing Telephone
No.
NEW Billing [phone]
Telephone No. (Cptional)
Change Requested Russ Willard and Jason Myers via emails on 4/9/2021 and 4/15/2021, respectively.
by: * Include any additional correspondence records in the %pository OOCfolder.
Additional Information for this update to contact information:

Addional Organizational changes
Explanation
(Optional)
Date * 04/19/2021