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HomeMy WebLinkAboutNCC231469_Annual Fee Invoice_20240501 North Carolina Department of Environmental Quality Division of Energy, Mineral,and Land Resources t� "�� Stormwater Program o;� ��:� ;"„� NPDES Construction Stormwater Permit INVOICE Annual Permit Fee—PLEASE N�TE FEE IN��EASE� T� $120 �t�E T� LE�ISLATI�N This Construction Stormwater annua) fee is required by the North Carolina Administrative Code 143-215.D(a). The fee covers the administrative costs associated with your permit. The fee is required of any person holding a permit for any time during the annual fee period, regardless of the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is needed,you must reapply,with the understanding the permit request may be denied due to changes in environmental, regulatory, or modeling conditions. Invoice No: NCC231469-2024 Invoice Date: 5/U2024 Certificate of Coverage No.: NCC231469 Due Date: 6/1J2024 Effective Date: 4/1/2024 Annual Fee Period: May 2024 to May 2025 Permit Term Expiration*: 3/31/2029 Project Name: Kintegra Community I�ealth Center Annual Fee: $120 Legally Responsible Person: E-mail: mskillestad@kintegra.org Robert Spencer Telephone: 7048741949 Community Health Partners Inc. Site Contact: Daniel Hall 200 East Second Avenue Site Contact E-mail: danieihamlett@gmail.com Gastonia, NC 28052-4358 Electronic payment preferred. Go to https:JJd�q.r�c.�ovJ5W-epa�rr�er�ts. If you select eCheck,there is no convenience fee.The convenience fee for a credit card is 2.65%, and the conv. fee for debit card is$3.95. If you must pay with paper check, please make your check payable to "DEMLR Stormwater Program" and include the Certificate of Covera�e No. in the memo field along with a copy of this invoice. A$25.00 processing fee will be charged for returned check, in accordance with North Carolina General Statute 25-3-512. Contact Tev Holloman at teu.hallocr�an�deq.r�c.�ov or(919) 707-3649 with any questions. Remit to: NCDEQ—Division of Energy, Mineral, and �and Resources Stormwater Program 1612 Mail Service Center Raleigh NC 27699-1612 If this project has been closed out or sold,you must submit a Notice of Termination (NOT) request here: https:jJedocs.deq.r�c.�ouJFormsJR1��01-Terrr�ir�atior� (New owners must obtain a new COC} *If the Permit Term Expiration date has passed,this COC was not renewed under the new General Permit on 4/1/2024 because of overdue fees. Please be sure to pay all outstanding fees so coverage can be renewed.