NCC221612_Contact Update Record_20240814

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by bethany.georgoulias 8/14/2024 2:03:06 PM (Contact Changes Submitted)

Contact • - for • • • ONLY)
updatesThis form • . .
Certificate of NCC221612
Coverage(COC) No.* Enter the Certificate of Coverage Number(Use capital letters)
NC Reference No. NCG01-2022-1612
Original NOI No.* 89015
Project information associated with this permit(cannot change):
Permittee Listed Organizaiton cannot be changed(new COC required)
BRG Route 55, LLC
Project Name Aspire at Cary Pointe
Address 2525 Morrisville Parkway,Cary, NC
County Wake
Latitude 35.8134
Longitude -78.8763
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Prior Rescission Date This field will populate only if COC has already been rescinded.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? No
Yes
Billing Email [e-mail]
NEW Billing Email [e-mail]
Billing Telephone No. 4013165603
NEW Billing [phone]
Telephone No. (Optional)
Legally Responsible Individual Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Legally Responsible Sunil Suthar
Individual(Previous)
First Name(New)* Nashwa
Last Name(New)* Hassanaly

NEW Legally Reflects any revisions above
Responsible Nashwa Hassanaly
Individual*
Permittee Email [e-mail]
(Previous)
NEW Permittee [e-mail]
Email*
Permittee Telephone [phone]
No.(Previous)
NEW Permittee [phone]
Telephone No.*
Permittee Mailing 104 Hume Avenue,0,Alexandria,VA 22301-
Address(Previous) 1015
NEW Permittee Street Address
Mailing Address* 209 Madison Street
Address Line 2
Suite 400
City State/Province/Region
Alexandria VA
Postal/Zip Code Country
22314 US
Permittee Street 104 Hume Avenue,0,Alexandria,VA 22301-
Address(Previous) 1015
NEW Permittee Street Street Address
Address* 209 Madison Street
Address Line 2
Suite 400
City State/Province/Region
Alexandria VA
Postal/Zip Code Country
22314 US
Site Contact Information
REVISE ONLY WHERE NECESSARY. KEEP INFORMATION THESAME IF NO CHANGES!
Site Contact Robert Blackwell
(Previous)
Site Contact Title PM
(Previous)
Organization
(Previous)
First Name(New)* Umer
Last Name(New)* Hasan

NEW Site Contact* Reflects any revisions above
Umer Hasan
NEW Site Contact PM
Title
NEW Organization BRG Route 55, 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 8605757853
Telephone No.
(Previous)
NEW Site Contact [phone]
Telephone No.*
Site Contact Mailing 1900 East Franklin Street, 0, Richmond,VA
Address(Previous) 23223
NEW Site Contact Street Address
Mailing Address* 209 Madison Street
Address Line 2
Suite 400
City State/Province/Region
Alexandria VA
Postal/Zip Code Country
22314 US
Change Requested Nashwa Hassanly via email on 8/12/2024. No number was provided for the site
by:* contact,so N. Hassanly's was entered.
Include any additional correspondence records in the Repository COC folder.
Additional Information for this update to contact information:
Addional Explanation
(Optional)
Date* 08/14/2024