NCC192171_Annual Fee Payment Record_20210105

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11/23/2020 4:46:51 PM (Workflow Start Event)
Submit by McCoy, Suzanne 1/5/2021 8:48:09 AM (Annual Fee Payment Verification for NCC192171-2020)
p Sanford Housing Authority
• McCoy, Suzanne assigned the task to McCoy, Suzanne 1/5/2021 8:47 AM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: January 4, 2021 5:00
PM 11/23/2020 4:46 PM

SfA7$ q,
NORTH CAROLINA
Envlrmmentuf Quuftty
Certificate of NCC192171
Coverage (COC) This is passed fromthe worKlow when the invoice is filed.
No. *
NC Reference COC
NCG01-2019-2171
No.*
Permit Status:
Active
Project Name *
Gilmore Terrace Apartments ( Sitework Improvements)
Project Address*
Fields Drive,James Street, Walden Street, Harrington Street, and Church Street,
West Sanford Township, NC
Permittee*
Sanford Housing Authority
County Lee
Invoice No. NCC192171-2020
This is passed fromthe worldlow when the invoice is filed.
Annual Fee * $ 100.00
Invoice Date * 11/24/2020
This is passed from the worldlow when the invoice is filed.
Invoice Due Date* 12/24/2020
This is passed fromthe worldlow when the invoice is filed.
An automated email reminder is sent to the permittee when the invoice is due. Wait until invoice is 15 days overdue
before proceeding to a Notice of Deficiency.
Days Overdue 12
Wait at least 15 days until proceeding to NOD.
Important: If you change the choice below to Payment NOT RECEIVED, the fee status becomes PAST DUE, and the
permittee will receive a Notice of Deficiency.
Annual Fee Payment r Fee Payment Received or Not Applicable.
Received* f Fee Payment NOT RECEIVED.
Date Payme nt 1 /5/2021
Received * Or, if WAN® or NOT FECBV®, this is the date that status is recorded.
Method of Payment* r electronic
FI check
r) other
Check Number* 7436
Fee Status* PAID

Legally Responsible Shannon Judd
Person (Orig.)
Original Permittee E- [e-mail]
mail *
CONFIRM Permittee [e-mail]
E-mail * Opportunity to rrodify problem e-rrail address or perrrittee contact info
Original Site Contact [e-mail]
E-mail *
CONFIRM Site [e-mail]
Contact E-mail * Opportunity to correct problem e-mail address or site contact info
Additional Billing Contact E-mails
Additional E-mail for
CC:
Review Date * 1/5/2021