NCC216034_Contact Update Record (Legally Resp Change)_20221010

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 10/10/2022 9:03:39 AM (Contact Changes Submitted)

Certificate of NCC216034
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2021-6034
Original NOI No.* 70719
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Exeter Harper's Glen Developers, LLC
Project Name Harper's Glen Subdivision
Address 929 JoJo Drive, Town of Wendell, NC
County Wake
Latitude 35.7780
Longitude-78.3510
Date COC Issued * 10/29/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.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. [phone]
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Jeffrey Smerko
Individual (Previous)
First Name (New)*
Christine
Last Name (New)*
Early
NEW Legally
Reflects any revisions above
Responsible
Christine Early
Individual*

Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 1905 Woodstock Rd., #9250, Roswell, GA
Address (Previous) 30075
NEW Permittee Street Address
Mailing Address* 1905 Woodstock Road
Address Line 2
#9250
City
State / Province / Region
Roswell
GA
Postal / Zip Code
Country
30075
United States
Permittee Street 1905 Woodstock Rd., #9250, Roswell, GA
Address (Previous) 30075
NEW Permittee Street Street Address
Address* 1905 Woodstock Road
Address Line 2
#9250
City State / Province / Region
Roswell GA
Postal / Zip Code Country
30075 United States
Change Requested Christine Early (Manager) via e-mail on 10/7/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 10/10/2022