NCC192151_Contact Update Record_20241114

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 11/14/2024 3:21:53 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC192151
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2019-2151
Original NOI No.* 16529
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
ARE NC Region No 14, LLC
Project Name Davis Drive-Buildings#3&#4
Address 8 Davis Drive, Research Triangle Park, NC
County Durham
Latitude 38.8986
Longitude -78.8589
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Prior Rescission Date This field will populate only if COC has already been rescinded.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
Yes
Billing Email
NEW Billing Email [e-mail]
Billing Telephone No.
NEW Billing 919-313-6631
Telephone No. (Optional)
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Amy Dean
(Previous)
Site Contact Title Sr. Project Manager
(Previous)

Organization ARE NC Regional No 14, LLC
(Previous)
First Name(New)* Marie
Last Name(New)* Van Winkle
NEW Site Contact* Reflects any revisions above
Marie Van Winkle
NEW Site Contact Asset Services Coordinator
Title
NEW Organization ARE NC Regional No 14, LLC
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 9842437864
Telephone No.
(Previous)
NEW Site Contact 919-313-6631
Telephone No.*
Site Contact Mailing 5 Laboratory Drive,0, Research Triangle
Address(Previous) Park, NC 27709-3329
NEW Site Contact Street Address
Mailing Address* 8 Davis Drive
Address Line 2
City State/Province/Region
Durham NC
Postal/Zip Code Country
27709 us
Change Requested Marie Van Winkle,Asset Services Coordinator,via email on 11/14/24
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 11/14/2024