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HomeMy WebLinkAboutNCC222303_Contact Update Record (Email Correction)_20220919Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Georgoulias, Bethany A 9/19/2022 12:45:58 PM (Contact Changes Submitted) Certificate of NCC222303 Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters) NC Reference No. NCG01-2022-2303 Original NOI No.* 94718 Project information associated with this permit (cannot change): Permittee Listed Organizaiton cannot be changed (new COC required) 523 N. Spring Street LLC Project Name Spring Street Apartments Address N Spring Steet, Greensboro, NC County Guilford Latitude 36.0793 Longitude-79.7973 Date COC Issued* 07/01/2022 Prior Rescission Date This field will populate only if COC has already been rescinded.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 srmarshall@linbrook.com NEW Billing Email srmarshall@lindbrook.com Billing Telephone No. 336-2821590 NEW Billing 336-2821590 Telephone No. (Optional) Legally Responsible Individual Contact Information REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES! Legally Responsible Seth Marshall Individual (Previous) First Name (New)* Seth Last Name (New) * Marshall NEW Legally Reflects any revisions above Responsible Seth Marshall Individual* Permittee Email srmarshall@linbrook.com (Previous) NEW Permittee srmarshall@lindbrook.com Email* Permittee Telephone 336-2821590 No. (Previous) NEW Permittee 336-2821590 Telephone No.* Permittee Mailing 3150 North Elm Street suite 206, 0, Address (Previous) Greensboro, NC 27408-3880 NEW Permittee Street Address Mailing Address* 3150 North Elm Street suite 206 Address Line 2 City State / Province / Region Greensboro NC Postal / Zip Code Country 27408-3880 US Permittee Street 3150 North Elm Street suite 206, 0, Address (Previous) Greensboro, NC 27408-3880 NEW Permittee Street Street Address Address* 3150 North Elm Street suite 206 Address Line 2 City State / Province / Region Greensboro NC Postal / Zip Code Country 27408-3880 US Site Contact Information REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES! Site Contact Seth Marshall (Previous) Site Contact Title (Previous) Organization 523 N Spring Street LLC (Previous) First Name (New)* Seth Last Name (New) * Marshall NEW Site Contact* Reflects any revisions above Seth Marshall NEW Site Contact Title NEW Organization 523 N Spring Street LLC This field is not required on the NOI form and may not pre -populate. Site Contact Email srmarshall@linbrook.com (Previous) NEW Site Contact srmarshall@lindbrook.com Email* Site Contact 336-282-1590 Telephone No. (Previous) NEW Site Contact 336-282-1590 Telephone No.* Site Contact Mailing 3150 North Elm Street, 0, Greensboro, NC Address (Previous) 27408-3880 NEW Site Contact Street Address Mailing Address* 3150 North Elm Street Address Line 2 City State / Province / Region Greensboro NC Postal / Zip Code Country 27408-3880 us Change Requested Seth Marshall via email on 9/19/2022 (corrected typo in email address for all three by: * contacts). Include any additional correspondence records in the Repository COC folder. Additional Information for this update to contact information: Addional Explanation (Optional) Date * 09/19/2022