NCC193238_Annual Fee Payment Record_20210111

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 12/7/2020 5:29:48 PM (Workflow Start Event)
Submit by Selkane, Aziza 1/11/2021 12:18:52 PM (Annual Fee Payment Verification for NCC193238-2020)
Matthew Tedder
• Selkane, Aziza assigned the task to Selkane, Aziza 1/11/2021 12:18 PM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: January 18, 2021 5:00
PM 12/7/2020 5:29 PM

NORTH CAROLINA
Environmental Quvllty
Certificate of
NCC193238
Coverage (COC)
This is passed fromtheworldlowwhen the invoice isfiled.
No.*
NC Reference COC
NCG01-2019-3238
No.*
Permit Status:
Active
Project Name*
Tedder Building
Project Address*
2036 Bishop Road, Greensboro, NC
Permittee*
Matthew Tedder
County
Guilford
Invoice No.*
NCC193238-2020
This is passed fromthe woMlow when the invoice is filed.
Annual Fee *
$ 100.00
Invoice Date*
12/8/2020
This is passed fromthe woMlow when the invoice is filed.
Invoice Due Date*
1/8/2021
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
1/11/2021
Received*
Or, if WAN®or NOT FECHV®, this is the date that status is recorded.
Method of Payment* r electronic
f check
f other
ePayment 552909436
Transaction
Number*
Fee Status* PAID

Legally Responsible Matthew Tedder
Person (Orig.)
Original Permittee E- [e-mail]
mail *
CONFIRM Permittee [e-mail]
E-mail * Opportunity to nodify probleme-mail address or perrrittee contact info
Original Site Contact [e-mail]
E-mail *
CONFIRM Site [e-mail]
Contact E-mail * Opportunity to correct probleme-nail address or site contact info
Additional Billing Contact E-mails
Additional E-mail for
CC:
Review Date* 1/11/2021