NCC230396_Contact Update Record_20240627

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 6/27/2024 12:01:29 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC230396
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2023-0396
Original NOI No.* 126878
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
9900 Mount Holly Road Properties LLC
Project Name Mount Holly Apartments
Address 9900 Mount Holly Road,Charlotte, NC
County Mecklenburg
Latitude 35.2925
Longitude -80.9715
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Prior Rescission Date This field will populate only if COC has already been rescinded.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
n Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 910-338-3585
NEW Billing 910-251-5030
Telephone No. (optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Johnathan Robinette
(Previous)
Site Contact Title
(Previous)

Organization
(Previous)
First Name(New)* Kent
Last Name(New)* Tanner
NEW Site Contact* Reflects any revisions above
Kent Tanner
NEW Site Contact Construction Manager
Title
NEW Organization 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 828-367-8405
Telephone No.
(Previous)
NEW Site Contact 910-612-8148
Telephone No.*
Site Contact Mailing 414 Arboretum Drive, Unit 125,Wilmington,
Address(Previous) NC 28405
NEW Site Contact Street Address
Mailing Address* 332 Military Cutoff Rd.
Address Line 2
City State/Province/Region
Wilmington NC
Postal/Zip Code Country
28405 US
Change Requested Kiehli Gore, I&D Support Specialist,via email on 6/27/24
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 06/27/2024