NCC190053_Contact Update Request_20201218

I.PPw�tment n/ envlrnnmental RLoally
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n µ>lditeR a Pe' bV the due date 000 Per daV the Permit
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,tirtp ctatt.s. Failure to paV th latlo with the understanding
Ito" i. a must reArflV• odelln8 conditions.
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A?� and you lair dstide a Pe es in environmental, �t2
Q to chan8tuest ma\'t>P dMInvoO to t\pt2021nnnual fee Perio0
lar pate: t,A. ,
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ILeVOY�:le Person:
LM�d B. Bcaswl
Fiickon •assistant Cih' Afanager
Cih of
Fee: $
Contact: hickorync-90v
ContactE-man �i`
eCeC nter S-et
IHickorn.'\C ;R601 our browser. If
ent opt, _on is referred. Type htt s: de
nc. ov SW-e a ments into Y
,Electronic a
ou select eCheck, there is no convenience fee. The convenience fee for a credit card is 2.65°o an
ry ram"
cconvenience fee for debit card is a able to "DEMLR Stormwater program"
IIfyou must Pay with paper check, Please make your check p Y a co v of this invoice
land include the Certificate of Cover e No. in the memo field alon with_
$25.00 processing fee will be charged for returned check in accordance with North Carolina General
Statute 25-3-512.
Remit to: NCDEQ— Division of Energy, Mineral and Land Resources
Stormwater Program
1612 Mail Service Center
Raleigh NC 27699-1612