NCC213907_Contact Update Record (Site Contact)_20220914

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 9/14/2022 9:07:24 AM (Contact Changes Submitted)

Certificate of NCC213907
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2021-3907
Original NOI No.* 58034
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Forestar (USA) Real Estate Group, Inc
Project Name Secrest Commons
Address 661 S. ML King Jr Blvd, Monroe, NC
County Union
Latitude 34.9762
Longitude-80.5770
Date COC Issued * 07/08/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.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 [e-mail]
Billing Telephone No. 9807226715
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Robert Price
(Previous)
Site Contact Title
(Previous)
Organization
(Previous)
First Name (New)* Caleb

Last Name (New) * Saruse
NEW Site Contact* Reflects any revisions above
Caleb Saruse
NEW Site Contact Director of Land Development - Charlotte
Title
NEW Organization Forestar (USA) Real Estate Group, Inc
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 9807226715
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 481 Munn Road E., Suite 150, Fort Mill,
Address (Previous) South Carolina 29715
NEW Site Contact Street Address
Mailing Address* 481 Munn Road E.
Address Line 2
Suite 150
City
State / Province / Region
Fort Mill
South Carolina
Postal / Zip Code
Country
29715
United States
Change Requested Caleb Saruse via e-mail on 9/12/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 09/14/2022