NCC205559_Contact Update Record_20250106

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 1/6/2025 9:29:51 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC205559
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2020-5559
Original NOI No.* 37441
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
SJ PROVIDENCE LLC
Project Name NELSON PARK
Address 7424 NELSON ROAD,CHARLOTTE, NC
County Mecklenburg
Latitude 35.1814
Longitude -80.6575
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Prior Rescission Date This field will populate only if COC has already been rescinded.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
�i Yes
Billing Email
NEW Billing Email [e-mail]
Billing Telephone No.
NEW Billing [phone]
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible SHEAH ZHU
Individual(Previous)
First Name(New)* Sheah
Last Name(New)* Zhu

NEW Legally Reflects any revisions above
Responsible Sheah Zhu
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 600 White Tail Terrace,0,Waxhaw, NC
Address(Previous) 28173-7220
NEW Permittee Street Address
Mailing Address* 600 White Tail Terrace
Address Line 2
City State/Province/Region
Waxhaw NC
Postal/Zip Code Country
28173-7220 us
Permittee Street 600 White Tail Terrace,0,Waxhaw, NC
Address(Previous) 28173-7220
NEW Permittee Street Street Address
Address* 600 White Tail Terrace
Address Line 2
City State/Province/Region
Waxhaw NC
Postal/Zip Code Country
28173-7220 us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Shawn Santee
(Previous)
Site Contact Title PROJECT MANAGER
(Previous)
Organization Santee Land Group
(Previous)
First Name(New)* Sheah
Last Name(New)* Zhu
NEW Site Contact* Reflects any revisions above
Sheah Zhu

NEW Site Contact Managing Member
Title
NEW Organization SJ PROVIDENCE 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 7044004282
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 11535 Carmel Commons Blvd,Suite 101,0,
Address(Previous) Charlotte, North Carolina 28269
NEW Site Contact Street Address
Mailing Address* 600 White Tail Terrace
Address Line 2
City State/Province/Region
Waxhaw NC
Postal/Zip Code Country
28173-7220 us
Change Requested Sheah Zhu via email on 12/29/2024
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 01/06/2025