NCC212379_Contact Update Record (Email Updates)_20230330

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by bethany.georgoulias 3/30/2023 11:57:49 AM (Contact Changes Submitted)

Certificate of NCC212379
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
NC Reference No. NCG01-2021-2379
Original NOI No.* 50560
Project information associated with this permit (cannot change):
Permittee Listed Organizaiton cannot be changed (new COC required)
Camden Plantation Properties, Inc.
Project Name Golf Club of Camden Plantation
Address McPherson Rd, South Mills, NC
County Camden
Latitude 36.5048
Longitude-76.3435
Date COC Issued * 04/28/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.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?
Q No
(.) Yes
Billing Email
[e-mail]
NEW Billing Email
[e-mail]
Billing Telephone No.
[phone]
NEW Billing
[phone], Ext. 5605
Telephone No.
(Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Robert Hobbs
Individual (Previous)
First Name (New)* Robert
Last Name (New) * Hobbs

NEW Legally Reflects any revisions above
Responsible Robert Hobbs
Individual*
Permittee Email
[e-mail]
(Previous)
NEW Permittee
[e-mail]
Email*
Permittee Telephone
[phone]
No. (Previous)
NEW Permittee
[phone]
Telephone No.*
Permittee Mailing 544 Newtown Rd, Suite 128, Virginia Beach,
Address (Previous) VA 23462
NEW Permittee Street Address
Mailing Address* 544 Newtown Rd
Address Line 2
Suite 128
City
State / Province / Region
Virginia Beach
VA
Postal / Zip Code
Country
23462
us
Permittee Street 544 Newtown Rd, Suite 128, Virginia Beach,
Address (Previous) VA 23462
NEW Permittee Street Street Address
Address * 544 Newtown Rd
Address Line 2
Suite 128
City
State / Province / Region
Virginia Beach
VA
Postal / Zip Code
Country
23462
us
Change Requested Stephanie White (Boyd Homes) via email on 3/30/2023. Leg resp individual email
by: * update only.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date * 03/30/2023