NCC223979_Contact Update Record (Billing)_20241107

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 11/7/2024 9:15:25 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC223979
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-3979
Original NOI No.* 114907
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Topsail Landing LLC
Project Name North Topsail Landing
Address NC Hwy 210,Sneads Ferry, NC
County Onslow
Latitude 34.5419
Longitude -77.4304
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Prior Rescission Date This field will populate only if COC has already been rescinded.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
(6) Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 214-220-3411
NEW Billing [phone]
Telephone No. (Optional)
Change Requested Kenneth Pratt via email on 11/6/2024.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 11/07/2024