NCC201652_Contact Update Record_20210423

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Selkane, Aziza 4/23/2021 6:03:48 PM (Contact Changes Submitted)

Certificate of NCC201652
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
NC Reference No. NCG01-2020-1652
Original NOI No.* 24616
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new OOC required)
NASH Wendell Falls, LLC
Project Name
Wendell Falls - Interceptor Sewer D
Address
Wendell Falls Parkway, Wendell, NC
County
Wake
Latitude
35.7800
Longitude
-78.4270
Date COC Issued*
04/28/2020
Prior Rescission
This field will populate only if CDC has already been rescinded.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
r Yes
Billing Email
NEW Billing Email [e-mail]
Billing Telephone
No.
NEW Billing 919-951-0716
Telephone No. (Optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Christopher Ferraguto
(Previous)

Site Contact Title
(Previous)
Organization
(Previous)
Project Manager
NASH Wendell Falls, LLC
First Name (New)*
Gareth
Last Name (New) *
Avant
NEW Site Contact*
Reflects any revisions above
Gareth Avant
NEW Site Contact
Project Manager
Title
NEW Organization
NASH Wendell Falls, 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 Blvd, Suite 150, Raleigh,
Address (Previous) NC 27607
NEW Site Contact
Mailing Address*
Street Address
4020 Westchase Blvd
Address Line 2
Suite 150
city
Raleigh
Fbstal / Zip Code
27607
State / province / Region
NC
Country
USA
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