NCC191035_Contact Update Record_20210423 (2)

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Selkane, Aziza 4/23/2021 12:26:03 PM (Contact Changes Submitted)

Certificate of NCC191035
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
NC Reference No. NCG01-2019-1035
Original NOI No.* 13829
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new OOC required)
NNP Briar Chapel, LLC
Project Name
Briar Chapel - Firmage Subdivision
Address
1780 ANDREWS STORE RD, Pittsboro, NC
County
Chatham
Latitude
35.8183
Longitude
-79.1231
Date COC Issued*
07/23/2019
Prior Rescission
This field will populate only if COChas already been rescinded.
Date
Which Contacts
f Billing Only
Have Changed?*
r Legally Responsible Individual Only
r Site Contact Only
r BOTH Legally Responsible Individual and Site Contact
Has Billing Contact
Choose'Yes'torevise Billing Contact details.
Changed?
r No
F Yes
Billing Email
[e-mail]
NEW Billing Email
[e-mail]
Billing Telephone
9199510716
No.
NEW Billing
9199510716
Telephone No.
(Optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Gareth Avant
(Previous)

Site Contact Title
(Previous)
Organization
(Previous)
Construction Manager
NNP Briar Chapel, LLC
First Name (New)* Gareth
Last Name (New) * Avant
NEW Site Contact* Reflects any revisions above
Gareth Avant
NEW Site Contact Construction Manager
Title
NEW Organization
NNP Briar Chapel, LLC
This field is not required on the N01 form and nay not pre -populate.
Site Contact Email
[e-mail]
(Previous)
NEW Site Contact
[e-mail]
Email *
Site Contact
919-951-0716
Telephone No.
(Previous)
NEW Site Contact
919-951-0716
Telephone No.*
Site Contact Mailing
4020 Westchase Boulevard, Suite 150,
Address (Previous)
Raleigh, NC 27607
NEW Site Contact
Street Address
Mailing Address*
4020 Westchase Boulevard
Address Line 2
Suite 150
Qty
State / province / Region
Raleigh
NC
Fbstal / Zip Code
Country
27607
us
Change Requested Chris Ferraguto
by: * Include any additional correspondence records in the Repository CDC folder.
Additional Information for this update to contact information:
Addional
Explanation
(Optional)
Date * 04/23/2021