HomeMy WebLinkAboutNCC223258_Contact Update Record (Site Contact)_20230905 Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 9/5/2023 5:13:07 PM(Contact Changes Submitted)
Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC223258
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-3258
Original NOI No.* 105615
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Triple A Homes
Project Name Chapel Ridge
Address 807 Cabin Creek,Pittsboro, NC
County Chatham
Latitude 35.7948
Longitude -79.2293
Date COC Issued* 09/16/2022
Prior Rescission Date This field will populate only if COC has already been rescinded.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
0 Yes
Billing Email laura@tripleahomes.org
Billing Telephone No. 9498120991
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact David Dail
(Previous)
Site Contact Title Construction Manager
(Previous)
Organization Triple A Homes
(Previous)
First Name(New)* Justin
Last Name(New)* Cook
NEW Site Contact* Reflects any revisions above
Justin Cook
NEW Site Contact
Title
NEW Organization Triple A Homes
This field is not required on the NOI form and may not pre-populate.
Site Contact Email david@tripleahomes.org
(Previous)
NEW Site Contact justin@tripleahomes.org
Email*
Site Contact 919-270-1928
Telephone No.
(Previous)
NEW Site Contact (910)748-6105
Telephone No.*
Site Contact Mailing 1013 Green Oaks Parkway, 0, Holly Springs,
Address(Previous) NC 27540
NEW Site Contact Street Address
Mailing Address* 1013 Green Oaks Parkway
Address Line 2
City State/Province/Region
Holly Springs NC
Postal/Zip Code Country
27540 us
Change Requested Laura Peters via email on 9/1/2023.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 09/05/2023