NCC202029_Contact Update Record_20210507

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Selkane, Aziza 5/7/2021 1:01:08 PM (Contact Changes Submitted)

Certificate of NCC202029
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
NC Reference No. NCG01-2020-2029
Original NOI No.* 25575
Project information associated with this permit (cannot change):
Permittee Listed
Organizaitoncannot bechanged (new COCrequired)
Pinnacle Storage of Morehead, LLC
Project Name
Pinnacle Storage
Address
5475 US 70 West, Morehead City, NC
County
Carteret
Latitude
34.7460
Longitude
-76.8310
Date COC Issued*
05/15/2020
Prior Rescission
This field will populate only if CCChas already been rescinded.
Date
Which Contacts
f Billing Only
Have Changed?*
r Legally Responsible Individual Only
r Site Contact Only
r BOTH Legally Responsible Individual and Site Contact
Has Billing Contact
Choose'Yes'torevise Billing Contact details.
Changed?
r No
r Yes
Billing Email
Billing Telephone
No.
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Todd Thames
(Previous)
Site Contact Title
(Previous)
Organization
(Previous)

First Name (New)* Curtis
Last Name (New) * Harrelson
NEW Site Contact*
NEW Site Contact
Title
Peflects any revisions above
Curtis Harrelson
NEW Organization This field is not required on the N01 form and nay not pre -populate.
Site Contact Email [e-mail]
(Previous)
NEW Site Contact [e-mail]
Email*
Site Contact
[phone]
Telephone No.
(Previous)
NEW Site Contact
[phone]
Telephone No.*
Site Contact Mailing
324 Greenville Avenue, 0, Wilmington, NC
Address (Previous)
28403-3514
NEW Site Contact
Mailing Address*
Street Address
324 Greenville Avenue
Address Line 2
City
Wilmington
Fbstal / Zip Code
28403-3514
State / Rovince / Fbgion
NC
Country
us
Change Requested Curtis Harrelson
by: * Include any additional correspondence records in the Fbpository 00Cfolder.
Additional Information for this update to contact information:
Addional
Explanation
(Optional)
Date * 05/07/2021