NCC211815_Annual Fee NOD Review_20220506

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 2/27/2022 2:48:29 PM (Workflow Start Event)
Submit by Selkane, Aziza 4/18/2022 8:09:38 AM (2022 Annual Fee Payment Verification for NCC211815-2022)
• Selkane, Aziza assigned the task to Selkane, Aziza 4/18/2022 8:09 AM
• The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: April 11, 2022 5:00 PM
2/27/2022 2:48 PM
Submit by Selkane, Aziza 5/6/2022 11:55:50 AM (NOD Review Step - 2022 Fees)
F Thaddeus Moore
• Selkane, Aziza assigned the task to Selkane, Aziza 5/6/2022 11:54 AM
The task was assigned to DEMLR NCG01 NOD Team. The due date is: June 17, 2022 5:00 PM
4/18/2022 8:10 AM

S 'i
W
NORTH CAROLINA
Envlrmmm(af Quafhy
Certificate of NCC211815
Coverage (COC) No.*
NC Reference COC NCG01-2021-1815
No.*
Permit Status: Active
This status is updated (not passed from Payment Form)
Already Rescinded? Look -up re -checks this date (it is not passed from the Payment Form)
Project Name* Liberty Senior Apartments
Project Address* 152 Market Chapel Road, Pittsboro, NC
Permittee* Liberty Healthcare Properties of Chatham County, LLC
County Chatham
Invoice No.* NCC211815-2022
Annual Fee* $ 100.00
Invoice Date* 3/1/2022
Invoice Due Date* 4/1/2022
Date NOD sent for no 4/18/2022
payment*
At the time non -receipt was recorded and the NOD was sent, the payment was 17 days overdue. At that time, the permit
status was Active. The fee status remains PAST DUE unless resolved at this review step.
Original Permittee E- [e-mail]
mail *
CONFIRM Permittee [e-mail]
E-mail* Opportunity to modify problem e-mail address or legally responsible person
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
Original Billing E-mail [e-mail]
(If available)
CONFIRM Billing E- [e-mail]
mail Opportunity to correct problem e-mail address or billing contact info
Billing Telephone No. [phone]

Additional Billing Contact E-mails
Additional E-mail for
CC:
Days Overdue 35
This is how many days overdue the fee is now (at NOD review).
Days Since NOD 18
Sent* Wait 30 days before proceeding to NOV.
Has Payment Been • Payment has been resolved (PAID).
Resolved?* Payment has been resolved (WAIVED).
NO. Payment has not been resolved (PROCEED TO NOV).
Date Payment 5/6/2022
Received or
Resolved *
Method of Payment* • electronic
check
other
ePayment 632225385
Transaction Number*
Fee Status* PAID
Compliance Review 5/6/2022
Date *