NCC221979_Contact Update Record_20240627

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 6/27/2024 1:08:57 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC221979
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-1979
Original NOI No.* 91963
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Baird Cove Investments, LLC
Project Name Valle Verde
Address 300 Baird Cove Road,Asheville, NC
County Buncombe
Latitude 35.6579
Longitude -82.5728
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Prior Rescission Date This field will populate only if COC has already been rescinded.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
0 Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. [phone]
NEW Billing [phone]
Telephone No. (optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Matt Maynard
(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 [phone]
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 10 S.Cardinal Drive,0,Wilmington, NC
Address(Previous) 28403
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 USA
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