NCC213834_Contact Update Record_20221219

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 12/19/2022 9:04:49 AM (Contact Changes Submitted)

Certificate of NCC213834
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2021-3834
Original NOI No.* 57227
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Lennar Carolinas, LLC
Project Name Jasper Place
Address 1317 W Gannon Avenue, Zebulon, NC
County Wake
Latitude 35.8240
Longitude-78.3430
Date COC Issued * 06/28/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.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? • No
Yes
Billing Email [e-mail]
Billing Telephone No. 919-608-7567
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible
Troy George
Individual (Previous)
First Name (New) *
Robert
Last Name (New)*
Smart
NEW Legally
Reflects any revisions above
Responsible
Robert Smart
Individual*

Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No. (Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 1100 Perimeter Park Drive, Suite 112,
Address (Previous) Morrisville, NC 27560-0180
NEW Permittee Street Address
Mailing Address* 1100 Perimeter Park Drive
Address Line 2
Suite 112
City
State / Province / Region
Morrisville
NC
Postal / Zip Code
Country
27560-0180
us
Permittee Street 1100 Perimeter Park Drive, Suite 112,
Address (Previous) Morrisville, NC 27560-0180
NEW Permittee Street Street Address
Address* 1100 Perimeter Park Drive
Address Line 2
Suite 112
City
State / Province / Region
Morrisville
NC
Postal / Zip Code
Country
27560-0180
us
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Troy George
(Previous)
Site Contact Title Division President
(Previous)
Organization Lennar Carolinas, LLC
(Previous)
First Name (New)* Robert
Last Name (New) * Smart
NEW Site Contact* Reflects any revisions above
Robert Smart
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 [e-mail]
Email*
Site Contact 919-465-5935
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 1100 Perimeter Park Drive, Suite 112,
Address (Previous) Morrisville, NC 27560-0180
NEW Site Contact Street Address
Mailing Address* 1100 Perimeter Park Drive
Address Line 2
Suite 112
City
State / Province / Region
Morrisville
NC
Postal / Zip Code
Country
27560-0180
us
Change Requested Robert Smart via Modification request submitted 12/2/2022.
by: * Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 12/19/2022