NCC212850_Annual Fee NOD Review_20230717

Action History (UTC-05:00)Eastern Time(US&Canada)
by Workflow 4/27/2022 6:24:50 PM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/16/2022 11:06:45 AM (2022 Annual Fee Payment Verification for NCC212850-
2022)
0 Reminder email sent 6/2/2022. Payment not received.
• The task was assigned to DEMLR NCG01 Annual Fee Team.The due date is:June 8,2022 5:00 PM
4/27/2022 6:24:53 PM
• Georgoulias, Bethany A reassigned the task to Georgoulias, Bethany A 6/16/2022 7:41:45 AM
Submit by Tev.Holloman 7/17/2023 1:50:28 PM (NOD Review Step-2022 Fees)
•M27 Land Holdings LLC
• The task was assigned to DEMLR NCG01 NOD Team.The due date is:August 15,2022 5:00 PM
6/16/2022 11:07:17 AM
• Tev.Holloman assigned the task to Tev.Holloman 7/17/2023 1:49:59 PM

�,a SfAt[
2022 Annual Payment NOD Compliance Review
NORTH CAROLINA
Environmental Quality
Certificate of NCC212850
Coverage(COC)No.*
NC Reference COC NCG01-2021-2850
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Already Rescinded?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* Shadow Creek
Project Address* 3016 Rear Oak Ridge Road, Summerfield, NC
Permittee* M27 Land Holdings LLC
County Guilford
Invoice No.* NCC212850-2022
Annual Fee* $ 100.00
Invoice Date* 5/1/2022
Invoice Due Date* 6/1/2022
Date NOD sent for no 6/16/2022
payment*
At the time non-receipt was recorded and the NOD was sent,the payment was 15 days overdue.At that time,the permit
status was Active.The fee status remains PAST DUE unless resolved at this review step.
Permittee E-mail* [e-mail]
(Where NOD letter was sent)
Permittee E-mail [e-mail]
(Current)* Looked up again in case there have been changes.
CONFIRM Permittee [e-mail]
E-mail* Opportunity to modify problem e-mail address or legally responsible person
Site Contact E-mail* [e-mail]
(Where NOD letter was sent)
Site Contact E-mail [e-mail]
(Current)* Looked up again in case there have been changes.
CONFIRM Site [e-mail]
Contact E-mail* Opportunity to correct problem e-mail address or site contact info

Billing E-mail [e-mail]
(If available)
Billing E-mail [e-mail]
(Current) (If available)Looked up again in case there have been changes.
CONFIRM Billing E- [e-mail]
mail Opportunity to correct problem e-mail address or billing contact info
Billing Telephone No. 336-339-3090
Additional Billing Contact E-mails
Additional E-mail for
CC:
Days Overdue 411
This is how many days overdue the fee is now(at NOD review).
Days Since NOD 396
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 7/17/2023
Received or
Resolved*
Method of Payment* electronic
check
other
ePayment 700295649
Transaction Number*
Fee Status* PAID
Compliance Review 7/17/2023
Date*