NCC241605_Contact Update Record_20240529

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 5/29/2024 12:36:29 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC241605
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2024-1605
Original NOI No.* 198765
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Paragon Building Group
Project Name Chapel Ridge Lot 753
Address 577 Berry Path Ln,Chatham County, NC
County Chatham
Latitude 35.7954
Longitude -79.2163
Date COC Issued* 05/28/2024
Prior Rescission Date This field will populate only if COC has already been rescinded.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? Q No
4) Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 704-458-2360
NEW Billing 704-458-2360
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Joshua Mauney
Individual(Previous)
First Name(New)* Joshua
Last Name(New)* Mauney

NEW Legally Reflects any revisions above
Responsible Joshua Mauney
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee 704-458-2360
Telephone No.*
Permittee Mailing 829 Purser Dr., 0, Raleigh, NC 27603
Address(Previous)
NEW Permittee Street Address
Mailing Address* 829 Purser Dr.
Address Line 2
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27603 Wake
Permittee Street 829 Purser Dr., 0, Raleigh, NC 27603
Address(Previous)
NEW Permittee Street Street Address
Address* 829 Purser Dr.
Address Line 2
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27603 Wake
Change Requested Michael Tyson, Site contact,via email on 5/29/24
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 05/29/2024