NCC221361_Contact Update Record_20240930

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 9/30/2024 9:01:16 AM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC221361
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-1361
Original NOI No.* 86263
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Forestar(USA)Real Estate Group INC.
Project Name Secrest Commons-Tract 2
Address 660 S. ML King Jr. Blvd., Monroe, NC
County Union
Latitude 34.9764
Longitude -80.5797
Date COC Issued* 09/25/2024
Prior Rescission Date This field will populate only if COC has already been rescinded.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
(.) Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 9807226715
NEW Billing [phone]
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Robert Price
Individual(Previous)
First Name(New)* Caleb
Last Name(New)* Saruse

NEW Legally Reflects any revisions above
Responsible Caleb Saruse
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 841 Munn Road E., Suite 150,0, Fort Mill, SC
Address(Previous) 29715
NEW Permittee Street Address
Mailing Address* 14120 Ballantyne Corporate Place
Address Line 2
Suite 225
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
28277 USA
Permittee Street 841 Munn Road E., Suite 150,0, Fort Mill, SC
Address(Previous) 29715
NEW Permittee Street Street Address
Address* 14120 Ballantyne Corporate Place
Address Line 2
Suite 225
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
28277 USA
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Robert Price
(Previous)
Site Contact Title Director of Real Estate Investments&Development-Carolinas
(Previous)
Organization
(Previous)
First Name(New)* Caleb
Last Name(New)* Saruse

NEW Site Contact* Reflects any revisions above
Caleb Saruse
NEW Site Contact Director of Land Development
Title
NEW Organization Forestar(USA)Real Estate Group 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 9807226715
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 481 Munn Road E., Suite 150,0, Fort Mill, SC
Address(Previous) 29715
NEW Site Contact Street Address
Mailing Address* 14120 Ballantyne Corporate Place
Address Line 2
Suite 225
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
28277 USA
Change Requested Caleb Saruse via Modification request submitted 9/25/2024.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 09/30/2024