NCC200222_Contact Update Record_20220214

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by EADS\bageorgoulias 2/14/2022 4:23:32 PM (Contact Changes Submitted)

Certificate of NCC200222
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2020-0222
Original NOI No.* 20821
Project information associated with this permit (cannot change):
Permittee Listed
Organizaiton cannot be changed (new COC required)
BRI 1876 Meridian Development LLC
Project Name
2540 Meridian Parkway
Address
2540 Meridian Parkway, Durham, NC
County
Durham
Latitude
35.9118
Longitude
-78.9019
Date COC Issued*
01/31/2020
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This field will populate only if COC has already been rescinded.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?
U No
Yes
Billing Email
NEW Billing Email [e-mail]
Billing Telephone No.
NEW Billing [phone]
Telephone No. (Optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Mike Higgins
(Previous)
Site Contact Title President
(Previous)

Organization Atlantic Corporate Contracting
(Previous)
First Name (New)*
John
Last Name (New) *
Lambert
NEW Site Contact*
Reflects any revisions above
John Lambert
NEW Site Contact
Title
NEW Organization Atlantic Corporate Contracting
This field is not required on the NOI form and may not pre -populate.
Site Contact Email [e-mail]
(Previous)
NEW Site Contact
Email*
Site Contact
Telephone No.
(Previous)
NEW Site Contact
Telephone No.*
[e-mail]
984-244-7700
[phone]
Site Contact Mailing 403 Blackwell Street, 0, Durham, NC 27701
Address (Previous)
NEW Site Contact Street Address
Mailing Address* 403 Blackwell Street
Address Line 2
City
State / Province / Region
Durham
NC
Postal / Zip Code
Country
27701
us
Change Requested Lissette Bautista via email on 1/4/2022 and Marc Bellet via email on 2/14/2022
by: * (legally responsible individual change form provided).
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation Additional billing contact info set as Marc Bellet's.
(Optional)
Date * 02/14/2022