HomeMy WebLinkAboutNCC233223_Contact Update Record_20231128 Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Tev.Holloman 11/28/2023 10:43:11 AM(Contact Changes Submitted)
Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC233223
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2023-3223
Original NOI No.* 165486
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
City of Greensboro
Project Name GRMS Phase IV Force Main Extension
Address Julian Airport Road and Starmount Road, Liberty, NC
County Randolph
Latitude 35.8664
Longitude -79.6210
Date COC Issued* 11/16/2023
Prior Rescission Date This field will populate only if COC has already been rescinded.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 virginia.spillman@greensboro-nc.gov
NEW Billing Email jana.stewart@greensboro-nc.gov
Billing Telephone No. 336-373-3260
NEW Billing 336-412-6314
Telephone No. (Optional)
Change Requested Jana Stewart, Engineering Manager,via email on 11/17/2023
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 11/28/2023