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HomeMy WebLinkAboutNCC213330_Contact Update Record_20230605 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Tev.Holloman 6/5/2023 2:50:45 PM(Contact Changes Submitted) Contact • - for • • • ONLY) updatesThis form • . . Certificate of NCC213330 Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters) NC Reference No. NCG01-2021-3330 Original NOI No.* 54490 Project information associated with this permit(cannot change): Permittee Listed Organizaiton cannot be changed(new COC required) Baker Residential of the Carolinas, LLC Project Name Kendrick Estates Address 3500 Randolph Road, Durham, NC County Durham Latitude 35.9800 Longitude -78.9920 Date COC Issued* 06/03/2021 Prior Rescission Date This field will populate only if COC has already been rescinded.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 jhavener@bakerresidential.com NEW Billing Email gmethven@bakerresidential.com Billing Telephone No. 919-694-7602 NEW Billing 919-398-3371 Telephone No. (Optional) Site Contact Information REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES! Site Contact Jeff Havener (Previous) Site Contact Title Director of Land Development (Previous) Organization Baker Residential (Previous) First Name(New)* Gray Last Name(New)* Methven NEW Site Contact* Reflects any revisions above Gray Methven NEW Site Contact Director of Land Development Title NEW Organization Baker Residential This field is not required on the NOI form and may not pre-populate. Site Contact Email jhavener@bakerresidential.com (Previous) NEW Site Contact gmethven@bakerresidential.com Email* Site Contact 919-694-7602 Telephone No. (Previous) NEW Site Contact 919-398-3371 Telephone No.* Site Contact Mailing 7001 Weston Pkwy,0,Cary, NC 27513 Address(Previous) NEW Site Contact Street Address Mailing Address* 7001 Weston Pkwy Suite 150 Address Line 2 City State/Province/Region Cary NC Postal/Zip Code Country 27513 us Change Requested Dylan Miller requested change via email on 6/1/2023. 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