NCC220971_Contact Update Record (Address Only)_20240418

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 4/18/2024 4:16:45 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC220971
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-0971
Original NOI No.* 83344
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Liberty Point Two, LLC
Project Name Liberty Point Industrial Park-Lots 2&3
Address 5360&5430 Corporation Drive, Hope Mills, NC
County Cumberland
Latitude 34.9415
Longitude -78.9010
Date COC Issued* 04/01/2024
Prior Rescission Date This field will populate only if COC has already been rescinded.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? 0• No
0 Yes
Billing Email [e-mail]
Billing Telephone No. 336-282-3550
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Daniel Granzyk
Individual(Previous)
First Name(New)* Daniel
Last Name(New)* Granzyk
NEW Legally Reflects any revisions above
Responsible Daniel Granzyk
Individual*

Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 5603 New Garden Village Drive, 0,
Address(Previous) Greensboro, NC 27410
NEW Permittee Street Address
Mailing Address* 1007 Battleground Ave
Address Line 2
Suite 301
City State/Province/Region
Greensboro NC
Postal/Zip Code Country
27408 us
Permittee Street 5603 New Garden Village Drive, 0,
Address(Previous) Greensboro, NC 27410
NEW Permittee Street Street Address
Address* 1007 Battleground Ave
Address Line 2
Suite 301
City State/Province/Region
Greensboro NC
Postal/Zip Code Country
27408 us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Daniel Granzyk
(Previous)
Site Contact Title Project Manager
(Previous)
Organization Windsor Commercial
(Previous)
First Name(New)* Daniel
Last Name(New)* Granzyk
NEW Site Contact* Reflects any revisions above
Daniel Granzyk
NEW Site Contact Project Manager
Title

NEW Organization Windsor Commercial
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 336-282-3550
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 3503 New Garden Road,0,Greensboro, NC
Address(Previous) 27410-2397
NEW Site Contact Street Address
Mailing Address* 1007 Battleground Ave
Address Line 2
Suite 301
City State/Province/Region
Greensboro NC
Postal/Zip Code Country
27408 us
Change Requested Carolyn Moran(Windsor Commercial)via email on 4/17/2024(follow-up on 4/18 to
by:* confirm same permittee entity).Address change only because of move.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 04/18/2024