NCC191566_Annual Fee Payment Record_20210107

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11/10/2020 7:03:39 AM (Workflow Start Event)
Submit by Selkane, Aziza 1/7/2021 3:56:08 PM (Annual Fee Payment Verification for NCC191566-2020)
• Selkane, Aziza assigned the task to Selkane, Aziza 1/7/2021 3:55 PM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: December 22, 2020 5:00
PM 11/10/2020 7:03 AM

NORTH CAROLINA
Environmental Quvllty
Certificate of NCC191566
Coverage (COC) This is passed fromthe worldlow when the invoice is filed.
No.*
NC Reference COC NCG01-2019-1566
No.*
Permit Status: Active
Project Name* 7-Eleven Convinence Store, Cambridge Village Lot 1
Project Address* NC Highway 16 Business, Denver, NC
Permittee * Verdad Construction Services
County Lincoln
Invoice No.* NCC191566-2020
This is passed fromthe worldlow when the invoice is filed.
Annual Fee * $ 100.00
Invoice Date* 11/10/2020
This is passed from the worldlow when the invoice is filed.
Invoice Due Date* 12/10/2020
This is passed from thew orldlow 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 28
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 1/7/2021
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 Ashley Ballard
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 [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 * 1/7/2021