NCC211553_Contact Update Record (Address Correction)_20240313

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 3/13/2024 8:47:38 AM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC211553
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2021-1553
Original NOI No.* 47686
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
BLUE BELL LENOIR, LLC
Project Name LENOIR BLUE BELL RESIDENTIAL DEVELOPMENT
Address 1241 COLLEGE AVENUE, LENOIR, NC
County Caldwell
Latitude 35.9084
Longitude -81.5464
Date COC Issued* 03/19/2021
Prior Rescission Date This field will populate only if COC has already been rescinded.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
C) Yes
Billing Email [e-mail]
Billing Telephone No. [phone]
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible YORKE LAWSON
Individual(Previous)
First Name(New)* YORKE
Last Name(New)* LAWSON
NEW Legally Reflects any revisions above
Responsible YORKE LAWSON
Individual*

Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing PO BOX 640,0, LENOR, NC 28211-3519
Address(Previous)
NEW Permittee Street Address
Mailing Address* PO BOX 640
Address Line 2
City State/Province/Region
LENOIR NC
Postal/Zip Code Country
28645 USA
Permittee Street 4300 Sharon Road, SUITE 526,Charlotte,
Address(Previous) NC 28211-3519
NEW Permittee Street Street Address
Address* 1241 College Avenue
Address Line 2
City State/Province/Region
Lenoir NC
Postal/Zip Code Country
28645 US
Change Requested Yorke Lawson via email on 3/12/2024(Address update/corrections only).
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 03/13/2024