NCC192933_Contact Update Record (Billing Only)_20211217

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 12/17/2021 10:10:06 AM (Contact Changes Submitted)

Certificate of NCC192933
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2019-2933
Original NOI No.* 18862
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Rutherford County Schools
Project Name Rutherford Spindale Middle School
Address 564 Thompson road, Rutherfordton, NC
County Rutherford
Latitude 35.3989
Longitude-81.9752
Date COC Issued* 11/26/2019
Prior Rescission Date This field will populate only if COC has already been rescinded.
Which Contacts Have Billing Only
Changed?* Legally Responsible Individual Only
Site Contact Only
BOTH Legally Responsible Individual and Site Contact
Has Billing Contact Choose'Yes' to revise Billing Contact details.
Changed? No
• Yes
Billing Email
NEW Billing Email [e-mail]
Billing Telephone No.
NEW Billing [phone]
Telephone No. (Optional)
Change Requested Blake Myers via e-mail on 12/16/2021.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation Additional billing contact added.
(Optional)
Date * 12/17/2021