NCG150052_Rtn Inv_20200215

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY III�I IlIlIllIllIll r II�I�I 11111 .1111
INVOICE * 2 0 2 0 P R 0 0 1 0 3 2 *
Stormwater Annual Permit Fee Open
This Stormwater annual fee is required by the North Carolina Administrative Code 143-215.D(a). It covers the administrative
costs associated with your permit. It is required of any person holding a permit for any time during the annual fee period,
regardless of the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation.
Operating without a valid permit is a violation and is subject to a$10,000 per day fine. If the permit is revoked and you later
decide a permit is needed, you must reapply,with the understanding the permit request may be denied due to changes in
environmental, regulatory, or modeling conditions.
Invoice Number: 2020PR001032 pg." L/#3 �3 4An l a Period: 2020-03-01 to 2021-02-28
Permit Number: NCG150052 'r. Date: 02/04/2020
Dare County 0(1 11' tf�
Dare County Regional Airport / J e Date: 03!05/2020
David Daniels \' o /ef�_1 '/7( 5q Annual Fee: $100.00
Dare County Regional Airport 0? ( L( ✓ 15
410 Airport Rd _1.. al--276 OE I
Manteo,NC 27954 `y�
RETURN TO SENDER
NO NI
E TOCFTACLE
OR.WAR D
Payment Options: N A 0 5 —3 S
*1896-67829—
1. Electronic payment is convenient and quick. T5 27 6991 63-Z 99 ,,,,b f, ,{{f Aiy41 e s r
ISf 9S {S QS fg;4QQit}itt tr t 111;� 111;111 1151111.1 1
browser. If you select eCheck,there will be no c �;1'1t11tltt�t r111��11t'it'€ 11 1 6
convenience fee for a debit card is$3.95.
2. To pay by mail,please make your check payable to"DEMLR Stormwater Program"and include the invoice number on the check.
Then,detach the invoice below and write the check number on the invoice. A$25.00 processing fee will be charged
for returned checks in accordance with N.C.General Statute 25-3-512.
Remit payments by mail to: NI111W213d 2j31VMW2j01S
NCDEQ-Division of Energy,Mineral and Land Resources AlllVfO ONv1-2iN30
Attn: Stormwater Billing {�}}
512 N.Salisbury Street [1ZOZ v 83J
1612 Mail Service Center
Raleigh,NC 27699-1612 3 /� 13 03J
3. Non-payment of this fee by the payment due date will initiate the permit revocation process. /\ Q
4. Please include your permit number in all correspondence.
5. Should you have any questions,please contact the Fee Coordinator at(919)707-9220.
(Return This Portion With Check)
1111111111111111111111111111
* 2 0 2 0 P R 0 0 1 0 3 2 *
ANNUAL PERMIT INVOICE
Open
Invoice Number: 2020PR001032 Annual Fee Period: 2020-03-01 to 2021-02-28
Permit Number: NCG150052
Invoice Date: 2/4/2020
Dare County
Dare County Regional Airport Due Date: 3/5/2020
Annual Fee: $100.00
David Daniels
Dare County Regional Airport
410 Airport Rd Check Number:
Manteo,NC 27954