NCC203003_Site Contact Update Record_20210818

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 8/18/2021 3:58:53 PM (Contact Changes Submitted)

Certificate of NCC203003
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
NC Reference No. NCG01-2020-3003
Original NOI No.* 28207
Project information associated with this permit (cannot change):
Permittee Listed
Organizaiton cannot be changed (new OOC required)
Toll Southeast LP Company, Inc
Project Name
The Point at Lake Castleberry
Address
4213 Green Level West Road, Apex, NC
County
Wake
Latitude
35.7720
Longitude
-78.9280
Date COC Issued*
07/17/2020
Prior Rescission
This field will populate only if 00Chas already been rescinded.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
[e-mail]
Billing Telephone
[phone]
No.
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Shawn Harling
(Previous)
Site Contact Title Sr. Land Development Manager
(Previous)
Organization Toll Brothers
(Previous)

First Name (New)* Garrick
Last Name (New) * Wier
NEW Site Contact* Peflects any revisions above
Garrick Wier
NEW Site Contact Assistant Land Development Manager
Title
NEW Organization Toll Brothers
This field is not required on the NCA form and may not pre -populate.
Site Contact Email [e-mail]
(Previous)
NEW Site Contact [e-mail]
Email*
Site Contact [phone]
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 900 Perimeter Park Drive, Suite B3,
Address (Previous) Morrisville, NC 27560
NEW Site Contact Street Address
Mailing Address* 900 Perimeter Park Drive
Address Line 2
Suite B3
C7ty
State / Rovince / Fbgion
Morrisville
NC
Fbstal / Zip Code
Country
27560
us
Change Requested Garrick Wier via e-mail on 8/18/2021 via e-mail.
by: * Include any additional correspondence records in the Fbpository 00Cfolder.
Additional Information for this update to contact information:
Addional Shawn is no longer with Toll Brothers.
Explanation
(Optional)
Date * 08/18/2021