NCC200964_Contact Update Record_20221216

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 12/16/2022 1:46:35 PM (Contact Changes Submitted)

Certificate of NCC200964
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2020-0964
Original NOI No.* 22926
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
LENNAR CAROLINAS, LLC
Project Name TINGEN PROPERTY SUBDIVISION
Address 1641 CLIFFORD ROAD, GARNER, NC
County Wake
Latitude 35.6574
Longitude-78.5947
Date COC Issued * 03/13/2020
Prior Rescission Date This field will populate only if COC has already been rescinded.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)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible TROY GEORGE
Individual (Previous)
First Name (New)* Robert
Last Name (New) * Smart

NEW Legally Reflects any revisions above
Responsible Robert Smart
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 1100 Perimeter Park Drive, SUITE 112,
Address (Previous) Morrisville, NC 27560
NEW Permittee Street Address
Mailing Address* 1100 Perimeter Park Drive
Address Line 2
SUITE 112
City
State / Province / Region
Morrisville
NC
Postal / Zip Code
Country
27560
US
Permittee Street 1100 Perimeter Park Drive, SUITE 112,
Address (Previous) Morrisville, NC 27560
NEW Permittee Street Street Address
Address* 1100 Perimeter Park Drive
Address Line 2
SUITE 112
City State / Province / Region
Morrisville NC
Postal / Zip Code Country
27560 US
Change Requested Robert Smart via Modification request submitted 12/2/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 12/16/2022