NCC192716_Annual Fee Payment Record_20210105

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11/30/2020 4:32:38 PM (Workflow Start Event)
Submit by Georgoulias, Bethany 1/5/2021 4:05:44 PM (Annual Fee Payment Verification for NCC192716-2020)
* Notice of Termination approved 11412021.
• Georgoulias, Bethany reassigned the task to Georgoulias, Bethany 1/4/2021 11:19 AM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: January 11, 2021 5:00
PM 11/30/2020 4:32 PM

NORTH CAROLINA
Environmental Quvllty
Certificate of NCC192716
Coverage (COC) This is passed fromthe worldlow when the invoice is filed.
No.*
NC Reference COC NCG01-2019-2716
No.*
Permit Status: INACTIVE
Already Rescinded:
1/4/2021
This field appears if the permt has already been termnated.
WAIVE FEE? *
r Yes, Payment Not Applicable
f No, Payment Still Applies
Project Name *
Krispy Kreme Stratford Road
Project Address*
259 South Stratford Road, Winston-Salem, NC
Permittee * Krispy Kreme Doughnut Corporation
County Forsyth
Invoice No. NCC192716-2020
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 from the woMlow 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 4
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 /5/2021
Received * Or, if WANBD or NOT FECBV®, this is the date that status is recorded.
e Payme nt
Transaction
Number*

Check Number*
Fee Status* WAIVED
Legally Responsible David Milne
Person (Orig.)
Original Permittee E- [e-mail]
mail *
CONFIRM Permittee [e-mail]
E-mail * Opportunity to rrodify problem e-rrail address or perrrittee contact info
Original Site Contact frank. [e-mail]
E-mail *
CONFIRM Site frank. [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 * 1/5/2021