NCC191055_Contact Update Record (Leg Resp Change)_20220815

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 8/15/2022 1:46:18 PM (Contact Changes Submitted)

Certificate of NCC191055
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2019-1055
Original NOI No.* 13875
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Lennar Carolinas, LLC
Project Name Veronica Springs
Address 2601 Secrest Shortcut Road, Monroe, NC
County Union
Latitude 35.0150
Longitude-80.5580
Date COC Issued * 07/24/2019
Prior Rescission Date This field will populate only if COC has already been rescinded.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? U No
Yes
Billing Email
NEW Billing Email mark. [e-mail]
Billing Telephone No.
NEW Billing [phone]
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Jon Hardy
Individual (Previous)
First Name (New)* Mark
Last Name (New)* Henninger

NEW Legally Reflects any revisions above
Responsible Mark Henninger
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee mark. [e-mail]
Email*
Permittee Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 6701 Carmel Road, Suite 425, Charlotte, NC
Address (Previous) 28226
NEW Permittee Street Address
Mailing Address* 6701 Carmel Road
Address Line 2
Suite 425
City
State / Province / Region
Charlotte
NC
Postal / Zip Code
Country
28226
us
Permittee Street 6701 Carmel Road, Suite 425, Charlotte, NC
Address (Previous) 28226
NEW Permittee Street Street Address
Address* 6701 Carmel Road
Address Line 2
Suite 425
City State / Province / Region
Charlotte NC
Postal / Zip Code Country
28226 us
Change Requested Mark Henninger via Modification request submitted 8/11/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 08/15/2022