NCC192693_Annual Fee Payment Record_20210104

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11/30/2020 4:29:07 PM (Workflow Start Event)
Submit by McCoy, Suzanne 1/4/2021 3:27:41 PM (Annual Fee Payment Verification for NCC192693-2020)
* Grubb Management Inc AAF
• McCoy, Suzanne assigned the task to McCoy, Suzanne 1/4/2021 3:26 PM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: January 11, 2021 5:00
PM 11/30/2020 4:29 PM

NORTH CAROLINA
Environmental Quvllty
Certificate of NCC192693
Coverage (COC) This is passed fromtheworldlow when the invoice isfiled.
No.*
NC Reference COC NCG01-2019-2693
No.*
Permit Status: Active
Project Name* Link Apartments 4th St
Project Address* 501 W. Fifth St, Winston-Salem, NC
Permittee * Grubb Management, Inc
County Forsyth
Invoice No.* NCC192693-2020
This is passed fromthe worldlow when the invoice is filed.
Annual Fee * $ 100.00
Invoice Date* 12/1/2020
This is passed fromthe worldlow when the invoice is filed.
Invoice Due Date* 1/1/2021
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 1 /4/2021
Received* Or, if WAN®or NOT FECHV®, this is the date that status is recorded.
Method of Payment* r electronic
r check
f other
Check Number* 311
Fee Status* PAID

Legally Responsible Henry Lomax Jr.
Person (Orig.)
Original Permittee E- [e-mail]
mail *
CONFIRM Permittee [e-mail]
E-mail * Opportunity to rrndify 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-Trail address or site contact info
Additional Billing Contact E-mails
Additional E-mail for
CC:
Review Date * 1/4/2021