NCC215442_Contact Update Record (Legally Resp and Site Contact)_20221103

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 11/3/2022 10:47:45 AM (Contact Changes Submitted)

Certificate of NCC215442
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2021-5442
Original NOI No.* 66820
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Lennar Carolinas, LLC
Project Name Greenbriar - Statesville
Address S. Greenbriar Rd, Statesville, NC
County Iredell
Latitude 35.7910
Longitude-80.8300
Date COC Issued * 09/30/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.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
[e-mail]
NEW Billing Email
mark. [e-mail]
Billing Telephone No.
7047596000
NEW Billing
[phone]
Telephone No.
(Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Joel Causey
Individual (Previous)
First Name (New)* Mark
Last Name (New)* Henninger

NEW Legally Reflects any revisions above
Responsible Mark Henninger
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee mark. [e-mail]
Email*
Permittee Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 6701 Carmel Rd, Suite 425, Charlotte, NC
Address (Previous) 28226
NEW Permittee Street Address
Mailing Address* 6701 Carmel Rd
Address Line 2
Suite 425
City
State / Province / Region
Charlotte
NC
Postal / Zip Code
Country
28226
us
Permittee Street 6701 Carmel Rd, Suite 425, Charlotte, NC
Address (Previous) 28226
NEW Permittee Street Street Address
Address* 6701 Carmel Rd
Address Line 2
Suite 425
City
State / Province / Region
Charlotte
NC
Postal / Zip Code
Country
28226
us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Joel Causey
(Previous)
Site Contact Title Manager
(Previous)
Organization
(Previous)
First Name (New)* Mark
Last Name (New)* Henninger

NEW Site Contact* Reflects any revisions above
Mark Henninger
NEW Site Contact Division President
Title
NEW Organization Lennar Carolinas, LLC
This field is not required on the NOI form and may not pre -populate.
Site Contact Email [e-mail]
(Previous)
NEW Site Contact mark. [e-mail]
Email*
Site Contact 7047596000
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 6701 Carmel Road, Suite 425, Charlotte, NC
Address (Previous) 28226
NEW Site Contact Street Address
Mailing Address* 6701 Carmel Road
Address Line 2
Suite 425
City
State / Province / Region
Charlotte
NC
Postal / Zip Code
Country
28226
us
Change Requested Chelsea Halley (Division Environmental Manager, Lennar) via email on 11/1/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 11 /03/2022