NCC205848_Contact Update Record (Leg Resp Change)_20220527

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 5/27/2022 2:06:01 PM (Contact Changes Submitted)

Certificate of NCC205848
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2020-5848
Original NOI No.* 39309
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Taylor Morrison of Carolinas, Inc
Project Name Jordan Oaks
Address 0 Horton Road, Apex, NC
County Wake
Latitude 35.6854
Longitude-78.9453
Date COC Issued * 12/22/2020
Prior Rescission Date This field will populate only if COC has already been rescinded.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? U No
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 Mark Altman
Individual (Previous)
First Name (New)* Christian
Last Name (New)* Sheppard

NEW Legally Reflects any revisions above
Responsible Christian Sheppard
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 15501 Weston Parkway, Suite 100, Cary, NC
Address (Previous) 27513
NEW Permittee Street Address
Mailing Address* 15501 Weston Parkway
Address Line 2
Suite 100
City
State / Province / Region
Cary
NC
Postal / Zip Code
Country
27513
us
Permittee Street 15501 Weston Parkway, Suite 100, Cary, NC
Address (Previous) 27513
NEW Permittee Street Street Address
Address* 15501 Weston Parkway
Address Line 2
Suite 100
City
State / Province / Region
Cary
NC
Postal / Zip Code
Country
27513
us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Mark Altman
(Previous)
Site Contact Title Land Development Director
(Previous)
Organization Taylor Morrison of Carolinas, Inc
(Previous)
First Name (New)* Christian
Last Name (New) * Sheppard

NEW Site Contact*
Reflects any revisions above
Christian Sheppard
NEW Site Contact
Land Development Director
Title
NEW Organization
Taylor Morrison of Carolinas, Inc
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 9194071232
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 15501 Weston Parkway, Suite 100, Cary,
Address (Previous) North Carolina 27513
NEW Site Contact Street Address
Mailing Address* 15501 Weston Parkway
Address Line 2
Suite 100
City
State / Province / Region
Cary
North Carolina
Postal / Zip Code
Country
27513
us
Change Requested Christian Sheppard via modification request submitted 5/24/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation Site Contact was also updated because it was the same as the previous individual.
(Optional)
Date * 05/27/2022