NCC205087_Contact Update Record_20211217

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Selkane, Aziza 12/17/2021 1:49:15 PM (Contact Changes Submitted)

Certificate of
NCC205087
Coverage (COC) No.*
Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No.
NCG01-2020-5087
Original NOI No.*
35240
Project information associated with this permit (cannot change):
Permittee Listed
Organizaiton cannot be changed (new COC required)
Nash Wendell Falls, LLC
Project Name
Wendell Falls - Richardson Tract Clearing Plan
Address
0 Wendell Falls Parkway, Wendell, NC
County
Wake
Latitude
35.7719
Longitude
-78.4169
Date COC Issued*
11/09/2020
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This field will populate only if COC has already been rescinded.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
Billing Telephone No.
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Chris Ferraguto
(Previous)
Site Contact Title Project Manager
(Previous)
Organization
(Previous)
First Name (New)* Chris

Last Name (New) * Ferraguto
NEW Site Contact* Reflects any revisions above
Chris Ferraguto
NEW Site Contact Project Manager
Title
NEW Organization This field is not required on the NOI form and may not pre -populate.
Site Contact Email [e-mail]
(Previous)
NEW Site Contact [e-mail]
Email*
Site Contact 919-951-0718
Telephone No.
(Previous)
NEW Site Contact 919-951-0718
Telephone No.*
Site Contact Mailing
4020 Westchase Boulevard, Suite 150,
Address (Previous)
Raleigh, NC 27607-3938
NEW Site Contact
Street Address
Mailing Address*
4020 Westchase Boulevard
Address Line 2
Suite 150
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27607-3938
us
Change Requested Chris Ferraguto by email 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
(Optional)
Date * 12/17/2021