Loading...
HomeMy WebLinkAboutNCC222158_Contact Update Record_20230703 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by bethany.georgoulias 7/3/2023 7:58:29 AM(Contact Changes Submitted) Contact • - for • • • ONLY) updatesThis form • . . Certificate of NCC222158 Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters) NC Reference No. NCG01-2022-2158 Original NOI No.* 93824 Project information associated with this permit(cannot change): Permittee Listed Organizaiton cannot be changed(new COC required) Kingsbury Ridge LLC Project Name Kingsbury Ridge Address Elliot Bridge Rd,Carvers Creek, NC County Cumberland Latitude 35.2122 Longitude -78.8710 Date COC Issued* 06/17/2022 Prior Rescission Date This field will populate only if COC has already been rescinded.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 4) Yes Billing Email accountspayable@rhhland.com NEW Billing Email accountspayable@rhhland.com Billing Telephone No. 910-723-6516 NEW Billing (910)302-3608 Telephone No. (optional) Legally Responsible Individual Contact Information REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES! Legally Responsible D. Ralph Huff III Individual(Previous) First Name(New)* D. Ralph Last Name(New)* Huff III NEW Legally Reflects any revisions above Responsible D. Ralph Huff III Individual* Permittee Email RebeccaTreadaway@HuffFamilyOffice.com (Previous) NEW Permittee DRHuff@HuffFamilyOffice.com Email* Permittee Telephone 910-723-6516 No.(Previous) NEW Permittee (910)302-3608 Telephone No.* Permittee Mailing 2919 Breezewood Avenue,Suite 100, Address(Previous) Fayetteville, NC 28303-5283 NEW Permittee Street Address Mailing Address* 2919 Breezewood Avenue Address Line 2 Suite 100 City State/Province/Region Fayetteville NC Postal/Zip Code Country 28303-5283 us Permittee Street 2919 Breezewood Avenue,Suite 100, Address(Previous) Fayetteville, NC 28303-5283 NEW Permittee Street Street Address Address* 2919 Breezewood Avenue Address Line 2 Suite 100 City State/Province/Region Fayetteville NC Postal/Zip Code Country 28303-5283 us Site Contact Information REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES! Site Contact Rebecca Treadaway (Previous) Site Contact Title Vice President (Previous) Organization (Previous) First Name(New)* D. Ralph Last Name(New)* Huff III NEW Site Contact* Reflects any revisions above D. Ralph Huff III NEW Site Contact Member/Manager Title NEW Organization Kingsbury Ridge LLC This field is not required on the NOI form and may not pre-populate. Site Contact Email RebeccaTreadaway@HuffFamilyOffice.com (Previous) NEW Site Contact DRHuff@HuffFamilyOffice.com Email* Site Contact 910-723-6516 Telephone No. (Previous) NEW Site Contact (910)302-3608 Telephone No.* Site Contact Mailing 2919 Breezewood Avenue,Suite 100, Address(Previous) Fayetteville, NC 28303-5283 NEW Site Contact Street Address Mailing Address* 2919 Breezewood Avenue Address Line 2 Suite 100 City State/Province/Region Fayetteville NC Postal/Zip Code Country 28303-5283 us Change Requested Ralph Huff and Kathryn Brown(Land Dev Coordinator)via emails on 6/27/2023 and by:* 6/29/2023(provided Legally Resp.Change Form), respectively. Include any additional correspondence records in the Repository COC folder. Additional Information for this update to contact information: Addional Explanation (Optional) Date* 07/03/2023