NCC215145_Contact Update Record_20241004

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 10/4/2024 10:08:23 AM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC215145
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2021-5145
Original NOI No.* 64610
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Crossroads Community LLC
Project Name Crossroads Community LLC
Address 20 S. Bear Creek Road,Asheville, NC
County Buncombe
Latitude 35.5621
Longitude -82.6077
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Prior Rescission Date This field will populate only if COC has already been rescinded.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 Craig Nevels
(Previous)
Site Contact Title Project Manager
(Previous)

Organization Stonehenge Real Estate Consulting
(Previous)
First Name(New)* Joe
Last Name(New)* Siddiqui
NEW Site Contact* Reflects any revisions above
Joe Siddiqui
NEW Site Contact Development Manager
Title
NEW Organization Catalyst Capital Partners
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 330 Franklin Road,0, Brentwood,TN 37027
Address(Previous)
NEW Site Contact Street Address
Mailing Address* 1710 Camden Road
Address Line 2
City State/Province/Region
Charlotte NC
Postal/Zip Code Country
28203 us
Change Requested Joe Siddiqui, Development Manager,via email on 10/4/2024.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 10/04/2024