NCC190482_Annual Fee Payment Record_20201214

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 10/27/2020 7:08:07 AM (Workflow Start Event)
Submit by Selkane, Aziza 12/14/2020 11:48:56 AM (Annual Fee Payment Verification for NCC190482-2020)
• Selkane, Aziza assigned the task to Selkane, Aziza 12/14/2020 11:48 AM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: December 8, 2020 5:00
PM 10/27/2020 7:08 AM

NORTH CAROLINA
Environmental Quvllty
Certificate of NCC190482
Coverage (COC) This is passed fromtheworldlow when the invoice isfiled.
No.*
NC Reference COC NCG01-2019-0482
No.*
Permit Status: Active
Project Name* Handee Hugo's
Project Address* 2829 Randleman Rd., Greensboro, NC
Permittee * Sampson Bladen Oil Company, Inc
County Guilford
Invoice No.* NCC190482-2020
This is passed fromthe worldlow when the invoice is filed.
Annual Fee * $ 100.00
Invoice Date* 10/27/2020
This is passed fromthe worldlow when the invoice is filed.
Invoice Due Date* 11/27/2020
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 17
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 f Fee Payment Received or Not Applicable.
Received* r Fee Payment NOT RECEIVED.
Date Payment 12/14/2020
Received* Or, if WAN®or NOT FECHV®, this is the date that status is recorded.
e Payme nt
Transaction
Number*
Check Number*
Fee Status* PAST DUE
Legally Responsible Haddon Clark
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 problem e-mail address or site contact info
Additional Billing Contact E-mails
Additional E-mail for
CC:
Review Date * 12/14/2020