NCC221612_Contact Update Request_20240812

NCG01 Legally Responsible Individual Change Form
use this form when:
The person who is legally responsible for the permit has changed, but there is NO CHANGE in the project name
or ownership.
**If the project name has changed,or if the ownership of the project has changed,do NOT use this form.**
Instead,you must submit a new NCGG1 electronic Notice of Intent(eNOI).
Directions:
Print this form,complete,scan and upload to the Construction Stormwater Permit MODIFICATION Form.
Then, mail the original form to the NC DEMLR Stormwater Program at:
Division of Energy, Mineral& Land Resources Stormwater Program
512 N.Salisbury Street,61h Floor(Office 640K)
1612 Mail Service Center
Raleigh, NC 27699-1612
DO NOT MAILTHIS FORM UNTIL YOUR MODIFICATION HAS BEEN REVIEWED AND ACCEPTED AS COMPLETE.
THE FORM YOU MAIL MUST BE COMPLETED WITH AN ORIGINAL SIGNATURE(NOT DIGITAL)[40 CFR 122,22]
Certificate of Coverage(COC) Number: NCC221612
Name of Project: Aspire at Cary Pointe BRG Route 55 LLC
Legally Responsible Organizational Entity: BRG Route 55 LLC
PREVIOUS Legally Responsible Individual: Sunil Suthar
NEW Legally Responsible Individual: Nashwa Hassanaly
The following section is to be completed and signed by the NEW Legally Responsible Individual.
Per NC General Statute 143-215.68(i), any person who knowingly makes any false statement, representation,
or certification in any application,record,report,plan,or other document filed or required to be maintained
under this Article or a rule implementing this Article. ..shall be guilty of a Gass 2 misdemeanor which may
include a fine not to exceed ten thousand dollars($10,000).
Roo l of �
Bob—

NCG01 Legally Responsible Individual Change form
THE FORM YOU MAIL MUST BE COMPLETED WITH AN ORIGINAL SIGNATURE(NOT DIGITAL)140 CFR 122.221
Under penalty of law, I certify that(check all boxes to indicate your agreement):
[X I am the person responsible for the construction activities of this project,for satisfying the
requirements of this permit,and for any civil or criminal penalties incurred due to violations of this
permit.
® I will abide by all conditions of the NCGO10000 General Permit and the approved Erosion and
Sediment Control Plan.
7 If the approved Erosion and Sediment Control Plan is not compliant with Part 11(Stormwater Pollution
Prevention Plan)of the NCGO10000 General Permit,I will nonetheless ensure that all conditions of
Part II of the permit are met on the project at all times.
R] I understand that coverage under this permit will constitute the permit requirements for the
discharge(s)and is enforceable in the same manner as an individual permit.
R] This form has been reviewed and is accurate and complete to the best of my knowledge.
*Signature: Date: 08112/24
Print Name of Signed: Nashwa Hassanaly
Title: Development Manager
Mailing Address: 209 Madison Street, Ste 400, Alexandria,22314
Street Address:
Email Address: nashwa.hassanaly(�bonaventure.com_
Phone Number: 702-470-4475
*IMPORTANT NOTE: This form must be signed by a responsible corporate officer that owns or operates the
construction activity,such as a president,secretary, treasurer, or vice president,or a manager that is
authorized in accordance with Part IV,Section B, Item(6)of the NCG010000 permit.
For more information on signatory requirements,see Part IV,Section B, Item(6)of the NCGO10000 permit.
pnoo 7 of

Georgoulias, Bethany
From: Nashwa Hassanaly <[e-mail]>
Sent: Monday, August 12, 2024 11:10 AM
To: Georgoulias, Bethany; Holloman, Tevye L
Subject: RE: [External] Renewal of NCG01 Permit- Cary Pointe - 2024 Fee Owed
Attachments: NCG01 Legally Responsible Individual Change Form.pdf, NCG01 Legally Responsible
Individual Change Form.pdf
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button located on your Outlook menu bar on the Home tab.
Please see attached scan form, I will mail it this week to your office.
Can we also update the Site Contact listed is Umer Hasan, [e-mail]
The Billing Contact email listed will go to myself please.
Thank you,
Nashwa
From: Georgoulias, Bethany<[e-mail]>
Sent: Monday, August 12, 2024 10:28 AM
To: Nashwa Hassanaly<[e-mail]>; Holloman,Tevye L<[e-mail]>
Subject: RE: [External] Renewal of NCG01 Permit-Cary Pointe-2024 Fee Owed
Please see the attached form.You can send a scanned completed copy to me by email, but the original signed
copy must be mailed to our office.
Thankyou,
Bethany Georgoulias (she/her)
Environmental Engineer, Stormwater Program
DEMLR Laserfiche Administrator
Division of Energy, Mineral,and Land Resources
N.C. Department of Environmental Quality
919 707 3641 office
[e-mail]
512 N. Salisbury Street, Raleigh, NC 27604 (location)
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing)
Website: http://deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
From: Nashwa Hassanaly<[e-mail]>
Sent: Monday, August 12, 2024 10:23 AM
To: Georgoulias, Bethany<[e-mail]>; Holloman,Tevye L<[e-mail]>
Subject: RE: [External] Renewal of NCG01 Permit-Cary Pointe- 2024 Fee Owed
You don't often get email from [e-mail] why this is important
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Thank you, Bethany,
I just paid the 2024 annual fees.
All the contact information below have left, can you please send me the form so I can add the new contacts?
All of them need to be updated, especially the billing contact.
Thank you for your help!
Thanks,
Nashwa
From: Georgoulias, Bethany<bethany.georgouIias@ deg.nc.gov>
Sent: Monday, August 12, 2024 10:14 AM
To: Nashwa Hassanaly<[e-mail]>; Holloman,Tevye L<[e-mail]>
Subject: RE: [External] Renewal of NCG01 Permit-Cary Pointe-2024 Fee Owed
Importance: High
Good morning,
#1 —it is not current and considered expired until the fees are resolved.The 2024 annual fee is past due. Please go
to https://epay.deq.nc.gov/stormwater-epayments.htmi
Enter the COC number(NCC221612), and then pay for the invoice.That is the most efficient way to clear up the
payment.
#2—if the contacts are not current, please let us know revisions to billing contact and site contact(full name,
email, phone number, mailing address)
Currently,the legally responsible person listed is Sunil Suthar
The Site Contact listed is Robert Blackwell
The Billing Contact email listed is Sunil's sunil.sutharCcbbonaventure.com
(Note, if the legally responsible person needs to be updated,the new person must fill out a form—an email is not
sufficient. However, other contact changes are possible via an email request made by someone with the listed
permittee organization).
Thankyou,
Bethany Georgoulias(she/her)
Environmental Engineer,Stormwater Program
DEMLR Laserfiche Administrator
Division of Energy,Mineral,and Land Resources
N.C. Department of Environmental Quality
919 707 3641 office
[e-mail]
512 N.Salisbury Street,Raleigh, NC 27604 (location)
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing)
Website: http//deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
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From: Nashwa Hassanaly<[e-mail]>
Sent: Monday, August 12, 2024 9:39 AM
To: Georgoulias, Bethany<[e-mail]>; Holloman,Tevye L<[e-mail]>
Subject: [External] Renewal of NCG01 Permit-Cary Pointe
Importance: High
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Tev, Bethany,
I hope you are both well,
I was hoping someone could me help here, I just took over this project and I received the email below from my
contractor.
I wanted to check if the NCDEQ NCG01 permit is still active for this project, and if not, how can I renew it?
I apologize for not brining this up earlier but all the team members on this project left all at once without anything being
passed through.
Thank you,
Nashwa
From: Umer Hasan <[e-mail]>
Sent:Tuesday,August 6, 2024 8:53 AM
To: Nashwa Hassanaly<[e-mail]>
Cc: Carrie Muniz<[e-mail]>;Valentina Ortega <[e-mail]>; Brendan
Heffern <[e-mail]>; Ben Rosenbaum <[e-mail]>
Subject: FW: [EXTERNAL] SEI#209-Aspire-Additional Erosion Inspection & Maintenance, Renewal of NCG01 Permit
Importance: High
Nashwa—can you help find out about NCDEQ NCG01 permit been renewed for 2024? Can you send me a confirmation?
Last word from Robert was it was only paid thru 2023:
Construction SW General Permit Annual Fee Received
.. . .
Ccrtificate of Cbycranc�COQ no-NCIC121612 his beer success(ullo reriewed�W-poment of the 2021 annual fee aa-kmj as all Gt4cr annual recs bay,
("ar construcLion Gerker at Permit PtrmlTme;
Umer Hasan I Sr. Project Manager
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BONAVENTURE I WE CREATE ASSETS
C 804.938.9833 1 bonaventure.com
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
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