NCC223907_Contact Update Record_20241118

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 11/18/2024 8:26:05 AM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC223907
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-3907
Original NOI No.* 113707
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Ashton Raleigh Residential LLC
Project Name Carter's Place SD Lots 1,5,7,9, 11,23,25,26,27,28
Address Tarboro Road,Youngsville, NC
County Franklin
Latitude 35.9851
Longitude -78.4044
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Prior Rescission Date This field will populate only if COC has already been rescinded.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. 919-229-3238
NEW Billing [phone]
Telephone No. (optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Raymond Rinker
Individual(Previous)
First Name(New)* Joseph
Last Name(New)* Conlan

NEW Legally Reflects any revisions above
Responsible Joseph Conlan
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 900 Ridgefield Drive,Suite 335, Raleigh, NC
Address(Previous) 27609
NEW Permittee Street Address
Mailing Address* 4025 Lake Boone Trail
Address Line 2
Suite 200
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27607 United Sates
Permittee Street 900 Ridgefield Drive,Suite 335, Raleigh, NC
Address(Previous) 27609
NEW Permittee Street Street Address
Address* 4025 Lake Boone Trail
Address Line 2
Suite 200
City State/Province/Region
Raleigh NC
Postal/Zip Code Country
27607 United States
Change Requested Joseph Conlan(VP, Land Development)via Modification request submitted
by:* 11/15/2024.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 11/18/2024