NCC223842_Contact Update Record_20230821

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 8/21/2023 10:27:54 AM(Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC223842
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-3842
Original NOI No.* 112853
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Lennar Carolinas, LLC
Project Name Sagecroft
Address 1054 E Gilbreath Street,Garaham, NC
County Alamance
Latitude 36.0510
Longitude -79.3780
Date COC Issued* 11/15/2022
Prior Rescission Date This field will populate only if COC has already been rescinded.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? Q No
C) 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 Vice 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 Vice 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 919-465-5900
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 8/17/2023.
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 08/21/2023