NCC190911_Annual Fee Payment Record_20201218

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11/3/2020 7:11:04 AM (Workflow Start Event)
Submit by Selkane, Aziza 12/18/2020 6:23:31 AM (Annual Fee Payment Verification for NCC190911-2020)
• Selkane, Aziza assigned the task to Selkane, Aziza 12/18/2020 6:23 AM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: December 15, 2020 5:00
PM 11 /3/2020 7:11 AM

NORTH CAROLINA
Environmental Quvllty
Certificate of NCC190911
Coverage (COC) This is passed fromthe worldlow when the invoice is filed.
No.*
NC Reference COC NCG01-2019-0911
No.*
Permit Status: Active
Project Name* Dermatology Clininc of the Carolinas
Project Address* Corporate Circle, Salisbury, NC
Permittee * Carrol Fisher Construction Company
County Rowan
Invoice No.* NCC190911-2020
This is passed fromthe worldlow when the invoice is filed.
Annual Fee * $ 100.00
Invoice Date* 11/3/2020
This is passed fromthe worldlow when the invoice is filed.
Invoice Due Date* 12/3/2020
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 15
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 12/18/2020
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 Luke Fisher
Person (Orig.)

Original Permittee E- [e-mail]
mail *
CONFIRM Permittee [e-mail]
E-mail * Opportunity to modify probleme-nail address or perrrittee contact info
Original Site Contact [e-mail]
E-mail *
CONFIRM Site [e-mail]
Contact E-mail * Opportunity to correct probleme-mail address or site contact info
Additional Billing Contact E-mails
Additional E-mail for
CC:
Review Date * 12/18/2020