NCC230295_Contact Update Record_20240201

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 2/1/2024 11:28:31 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC230295
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2023-0295
Original NOI No.* 125627
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
McKee Homes LLC
Project Name Coastal Haven
Address Mt Misery Rd, Hood Creek, NC
County Brunswick
Latitude 34.2977
Longitude -78.0625
Date COC Issued* 02/02/2023
Prior Rescission Date This field will populate only if COC has already been rescinded.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 [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 910.475.7100
NEW Billing [phone]
Telephone No. (Optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact John Spurrell
(Previous)
Site Contact Title Vice President of Land Development
(Previous)

Organization McKee Homes LLC
(Previous)
First Name(New)* Tyler
Last Name(New)* Davis
NEW Site Contact* Reflects any revisions above
Tyler Davis
NEW Site Contact
Title
NEW Organization McKee Homes LLC
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 919.475.4320
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 4208 Six Forks Road suite 810,0, Raleigh,
Address(Previous) NC 27609
NEW Site Contact Street Address
Mailing Address* 4208 Six Forks Road
Address Line 2
Suite 810
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27609 us
Change Requested Patrick McKee,Tyler Davis,and Drew Bass via e-mail on 2/1/2024.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 02/01/2024