NCC223550_Contact Update Record (Name Correction Only)_20230119

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Georgoulias, Bethany A 1/19/2023 8:43:01 AM (Contact Changes Submitted)

Certificate of NCC223550
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2022-3550
Original NOI No.* 109206
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Lennar Carolinas, LLC
Project Name Rosedale
Address 1724 Golden Honey Drive, Wake Forest, NC
County Wake
Latitude 35.9740
Longitude-78.4590
Date COC Issued * 10/14/2022
Prior Rescission Date This field will populate only if COC has already been rescinded.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? • 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
Change Requested NAME CORRECTION ONLY. Mistakenly left as "Troy George" in Dec 2022 when
by. * legally responsible update to Robert Smart was processed. We apologize for the
oversight!
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 01 /19/2023