NCC214947_Contact Update Record_20241016

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 10/16/2024 4:11:50 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC214947
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2021-4947
Original NOI No.* 63269
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
DR Horton, Inc.
Project Name Collett Farms-DR Horton Lots
Address 5544 NC-62,Trinity„ NC
County Randolph
Latitude 35.8752
Longitude -80.0187
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Prior Rescission Date This field will populate only if COC has already been rescinded.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
4) Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 919-215-6561
NEW Billing [phone]
Telephone No. (optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Jessica Meyer
Individual(Previous)
First Name(New)* Neil
Last Name(New)* Uldrick

NEW Legally Reflects any revisions above
Responsible Neil Uldrick
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 2000 Aerial Center Parkway,Suite 110A,
Address(Previous) Morrisville, NC 27560-9294
NEW Permittee Street Address
Mailing Address* 4150 Mendenhall Oaks Pkwy
Address Line 2
City State/Province/Region
High Point NC
Postal/Zip Code Country
27265 US
Permittee Street 2000 Aerial Center Parkway,Suite 110A,
Address(Previous) Morrisville, NC 27560-9294
NEW Permittee Street Street Address
Address* 4150 Mendenhall Oaks Pkwy
Address Line 2
City State/Province/Region
High Point NC
Postal/Zip Code Country
27265 US
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Jessica Meyer
(Previous)
Site Contact Title NPDES Technical Compliance Administrator
(Previous)
Organization DR Horton, Inc.
(Previous)
First Name(New)* Neil
Last Name(New)* Uldrick
NEW Site Contact* Reflects any revisions above
Neil Uldrick

NEW Site Contact Division Stormwater Compliance Team lead
Title
NEW Organization DR Horton, 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 919-215-6561
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 2000 Aerial Center Parkway,Suite 110A,
Address(Previous) Morrisville, NC 27560-9294
NEW Site Contact Street Address
Mailing Address* 4150 Mendenhall Oaks Pkwy
Address Line 2
City State/Province/Region
High Point NC
Postal/Zip Code Country
27265 US
Change Requested Neil Uldrick via Modification request submitted 10/9/2024.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 10/16/2024