NCC191036_Contact Update Record_20210423 (2)

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Selkane, Aziza 4/23/2021 5:41:09 PM (Contact Changes Submitted)

•
Certificate of NCC191036
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
NC Reference No. NCG01-2019-1036
Original NOI No.* 13827
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new CDC required)
NNP Briar Chapel, LLC
Project Name
Briar Chapel - Phase 14
Address
Catullo Run, Pittsboro, NC
County
Chatham
Latitude
35.8210
Longitude
-79.1000
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This field will populate only if COChas already been rescinded.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
f Site Contact Only
f BOTH Legally Responsible Individual and Site Contact
Has Billing Contact
Choose'Yes'torevise Billing Contact details.
Changed?
F No
r Yes
Billing Email
[e-mail]
Billing Telephone
9199510716
No.
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Chris Ferraguto
Individual
(Previous)
First Name (New)* Chris
Last Name (New) * Ferraguto

NEW Legally Peflects any revisions above
Responsible Chris Ferraguto
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee 919-819-9427
Telephone No.
(Previous)
NEW Permittee 919-951-0716
Telephone No.*
Permittee Mailing 4020 Westchase Boulevard, Suite 150,
Address (Previous) Raleigh, NC 27607
NEW Permittee
Mailing Address*
Street Address
4020 Westchase Boulevard
Address Line 2
Suite 150
Cty
Raleigh
Fbstal / Zip Code
27607
Permittee Street 4020 Westchase Boulevard, Suite 150,
Address (Previous) Raleigh, NC 27607
State / Rovince / Fbgion
NC
Country
us
NEW Permittee Street Address
Street Address* 4020 Westchase Boulevard
Address Line 2
Suite 150
City
State / Rovince / FZegion
Raleigh
NC
Fbstal / Zip Code
Country
27607
us
Change Requested Chris Ferraguto
by: * Include any additional correspondence records in the %pository CDC folder.
Additional Information for this update to contact information:
Addional
Explanation
(Optional)
Date * 04/23/2021