NCC213710_Contact Update Record (Legally Resp Change)_20230328

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by bethany.georgoulias 3/28/2023 1:25:47 PM (Contact Changes Submitted)

Certificate of NCC213710
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2021-3710
Original NOI No.* 56801
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
DR Horton, Inc.
Project Name Woodgrove - DR Horton Lots
Address 3654 Kit Stewart Road, Fuquay-Varina, NC
County Harnett
Latitude 35.5079
Longitude-78.8136
Date COC Issued * 06/22/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.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?
Q No
n Yes
Billing Email
[e-mail]
NEW Billing Email
[e-mail]
Billing Telephone No.
919-215-6561
NEW Billing
[phone]
Telephone No.
(Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Jessica Meyer
Individual (Previous)
First Name (New)* Tracey
Last Name (New) * Davis

NEW Legally Reflects any revisions above
Responsible Tracey Davis
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 2000 Aerial Center Parkway, Suite 110A,
Address (Previous) Morrisville, NC 27560
NEW Permittee Street Address
Mailing Address* 7208 Falls of Neuse Road
Address Line 2
Suite 201
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27615
USA
Permittee Street 2000 Aerial Center Parkway, Suite 110A,
Address (Previous) Morrisville, NC 27560
NEW Permittee Street Street Address
Address * 7208 Falls of Neuse Road
Address Line 2
Suite 201
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27615
USA
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Jessica Meyer
(Previous)
Site Contact Title NPDES Technical Compliance Administrator
(Previous)
Organization DR Horton, Inc
(Previous)
First Name (New)* Tracey
Last Name (New) * Davis

NEW Site Contact* Reflects any revisions above
Tracey Davis
NEW Site Contact Division NPDES Administrator
Title
NEW Organization DR Horton, 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 919-215-6561
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 2000 Aerial Center Parkway, Suite 110A,
Address (Previous) Morrisville, NC 27560
NEW Site Contact Street Address
Mailing Address* 7208 Falls of Neuse Road
Address Line 2
Suite 201
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27615
USA
Change Requested Tracey Davis via Modification request submitted 3/24/2023.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 03/28/2023