NCC222124_Contact Update Record_20240617

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 6/17/2024 11:00:16 AM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC222124
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-2124
Original NOI No.* 93613
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Toll Southeast LP Company, Inc.
Project Name Griffith Lakes Phase 2
Address 7416 Old Statesville Rd, Charlotte, NC,Charlotte, NC
County Mecklenburg
Latitude 35.3310
Longitude -80.8110
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Prior Rescission Date This field will populate only if COC has already been rescinded.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? Q• No
C) Yes
Billing Email [e-mail]
Billing Telephone No. 919-321-4800
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Dan Rossi
Individual(Previous)
First Name(New)* Robert
Last Name(New)* Price
NEW Legally Reflects any revisions above
Responsible Robert Price
Individual*

Permittee Email [e-mail]
(Previous)
NEW Permittee rprice1@tolI brothers.corn
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 14529 Grand Palisades Parkway,0,
Address(Previous) Charlotte, NC 28278
NEW Permittee Street Address
Mailing Address* 9130 Kings Parade Blvd.
Address Line 2
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
27560 us
Permittee Street 14529 Grand Palisades Parkway,0,
Address(Previous) Charlotte, NC 28278
NEW Permittee Street Street Address
Address* 9130 Kings Parade Blvd.
Address Line 2
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
27560 us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Dan Rossi
(Previous)
Site Contact Title Vice President of Land Development
(Previous)
Organization Toll Southeast LP Company, Inc.
(Previous)
First Name(New)* Lyle
Last Name(New)* Dennison-Swisse
NEW Site Contact* Reflects any revisions above
Lyle Dennison-Swisse
NEW Site Contact Sr. Land Development Manager
Title
NEW Organization Toll Southeast LP Company, Inc.
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 704.430.9392
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 14529 GRAND PALISADES PARKWAY,0,
Address(Previous) CHARLOTTE, NC 28278
NEW Site Contact Street Address
Mailing Address* 9130 Kings Parade Blvd.
Address Line 2
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
27560 us
Change Requested Janet Boucher(Sr. Land Development Administrator)via Modification request
by:* submitted 6/5 and 6/17/2024.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 06/17/2024