NCC192824_Annual Fee Payment Record_20210105

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11/30/2020 4:39:02 PM (Workflow Start Event)
Submit by Georgoulias, Bethany 1/5/2021 4:05:55 PM (Annual Fee Payment Verification for NCC192824-2020)
* Notice of Termination approved 11412021.
• Georgoulias, Bethany reassigned the task to Georgoulias, Bethany 1/4/2021 11:08 AM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: January 11, 2021 5:00
PM 11/30/2020 4:39 PM

SfA7$ q,
NORTH CAROLINA
Envlrmmentuf Quuftty
Certificate of NCC192824
Coverage (COC) This is passed fromthe worKlow when the invoice is filed.
No. *
NC Reference COC NCG01-2019-2824
No.*
Permit Status: INACTIVE
Already Rescinded: 1/4/2021
This field appears if the pernit has already been termnated.
WAIVE FEE? * r Yes, Payment Not Applicable
r No, Payment Still Applies
Project Name * Wakefield Meadows, Ph 2, Lot 21
Project Address* 1313 Wakefield Farm Rd, Zebulon, NC
Permittee * Hedgehog Ventures, LLC
County Wake
Invoice No. NCC192824-2020
This is passed from the worldlow when the invoice is filed.
Annual Fee * $ 100.00
Invoice Date * 12/1/2020
This is passed from the worldlow when the invoice is filed.
Invoice Due Date* 1/1/2021
This is passed from the 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 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 WWI receive a Notice of Deficiency.
Annual Fee Payment r Fee Payment Received or Not Applicable.
Received* r Fee Payment NOT RECEIVED.
Date Payme nt 1 /5/2021
Received * Or, if WAN® or NOT F ECBV®, this is the date that status is recorded.
e Payme nt
Transaction
Number*

Check Number*
Fee Status* WAIVED
Legally Responsible William A. Bridgforth III
Person (Orig.)
Original Permittee E- [e-mail]
mail *
CONFIRM Permittee [e-mail]
E-mail * Opportunity to modify probleme-Trail 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 * 1/5/2021