NCC211553_Contact Update Record (Zip Correction)_20240314

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 3/14/2024 2:12:10 PM (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Prior Rescission Date This field will populate only if COC has already been rescinded.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]
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact C.Yorke Lawson
(Previous)
Site Contact Title MANAGING MEMBER
(Previous)
Organization BLUE BELL LENOIR, LLC
(Previous)
First Name(New)* C.Yorke

Last Name(New)* Lawson
NEW Site Contact* Reflects any revisions above
C.Yorke Lawson
NEW Site Contact MANAGING MEMBER
Title
NEW Organization BLUE BELL LENOIR, 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 [phone]
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing PO BOX 640,0, LENOIR, NC 28643
Address(Previous)
NEW Site Contact Street Address
Mailing Address* PO BOX 640
Address Line 2
City State/Province/Region
LENOIR NC
Postal/Zip Code Country
28645 US
Change Requested Y. Lawson via email 3/13/2024(zip code correction to Site Contact mailing)
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 03/14/2024