NCC190064_Annual Fee Payment Record_20201123

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11/19/2020 12:47:43 PM (Workflow Start Event)
Submit by Selkane, Aziza 11/23/2020 11:37:28 AM (Annual Fee Payment Verification for NCC190064-2020)
* James M Randall Jr
• Selkane, Aziza assigned the task to Selkane, Aziza 11/23/2020 11:36 AM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: December 31, 2020 5:00
PM 11/19/2020 12:47 PM

NORTH CAROLINA
Environmental Quvllty
Certificate of NCC190064
Coverage (COC) This is passed fromtheworldlow when the invoice isfiled.
No.*
NC Reference COC NCG01-2019-0064
No.*
Permit Status:
Project Name*
Active
Testoff Residence
Project Address* 3405 Myrtle Grove Drive, Gibsonville, NC
Permittee * James Randall General Contractor
County Guilford
Invoice No.* NCC190064-2020
This is passed fromthe worldlow when the invoice is filed.
Annual Fee * $ 100.00
Invoice Date* 10/20/2020
This is passed fromthe worldlow when the invoice is filed.
Invoice Due Date* 11/20/2020
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 3
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* r Fee Payment NOT RECEIVED.
Date Payment 11/23/2020
Received* Or, if WAN®or NOT FECHV®, this is the date that status is recorded.
Method of Payment*
r electronic
f check
f other
ePayment
545537993
Transaction
Number*
Fee Status* PAID

Legally Responsible James Randall
Person (Orig.)
Original Permittee E- [e-mail]
mail *
CONFIRM Permittee [e-mail]
E-mail * Opportunity to rrodify probleme-mail address or perrrittee contact info
Original Site Contact [e-mail]
E-mail *
CONFIRM Site [e-mail]
Contact E-mail * Opportunity to correct probleme-Trail address or site contact info
Additional Billing Contact E-mails
Additional E-mail for
CC:
Review Date * 11/23/2020