NCC223255_Contact Update Record_20240905

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 9/5/2024 12:19:21 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC223255
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-3255
Original NOI No.* 105563
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
Trinsic Acquisition Company,LLC
Project Name Aura Chapel Hill
Address 1000 Martin Luther King Jr Blvd,Chapel Hill, NC
County Orange
Latitude 35.9360
Longitude -79.0490
Date COC Issued* 04/01/2024
Prior Rescission Date This field will populate only if COC has already been rescinded.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. 919-884-7395
NEW Billing [phone]
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Ryan Stewart
Individual(Previous)
First Name(New)* Justin
Last Name(New)* Brown

NEW Legally Reflects any revisions above
Responsible Justin Brown
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 322 East Chapel Hill Street,0, Durham, NC
Address(Previous) 27701-3302
NEW Permittee Street Address
Mailing Address* 242 S. Main Street
Address Line 2
Suite 206
City State/Province/Region
Holly Springs NC
Postal/Zip Code Country
27540 us
Permittee Street 322 East Chapel Hill Street,0, Durham, NC
Address(Previous) 27701-3302
NEW Permittee Street Street Address
Address* 242 S. Main Street
Address Line 2
Suite 206
City State/Province/Region
Holly Springs NC
Postal/Zip Code Country
27540 us
Change Requested Peter Bellantoni on 9/3/2024 via Modification Request
by:* Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 09/05/2024