NCC217040_Contact Update Record_20230605

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 6/5/2023 7:39:36 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC217040
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2021-7040
Original NOI No.* 75989
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
DR Horton, Inc
Project Name Anderson Farm Subdivision
Address Old Battle Bridge Road,Wendell, NC
County Guilford
Latitude 35.7963
Longitude -78.4056
Date COC Issued* 12/20/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.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
0 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 Jess 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,2000 Aerial
Address(Previous) Center Parkway, Morrisville, NC 7560-9294
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 us
Permittee Street 2000 Aerial Center Parkway,2000 Aerial
Address(Previous) Center Parkway, Morrisville, NC 7560-9294
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 us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Christopher Ahlers
(Previous)
Site Contact Title
(Previous)
Organization
(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 D.R. 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 [phone]
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 2000 Aerial Center Parkway,0, Morrisville,
Address(Previous) North Carolina 7560-9294
NEW Site Contact Street Address
Mailing Address* 7208 Falls of Neuse Road
Address Line 2
Suite 201
City State/Province/Region
Raleigh North Carolina
Postal/Zip Code Country
27615 United States
Change Requested Tracey Davis via Modification request submitted 05/31/2023.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 06/05/2023