WQ0000807_Other Agency Documents_20240926

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY flfflfflflflfl 111111
INVOICE * 2024PR003651 *
Annual Permit Fee Open
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated
with your permit. It 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 Number: 2024PR003651 Annual Fee Period: 05/01/2024 to 04/30/2025 .
Permit Number: WQ0000807 Invoice Date: 04/11/2024
Davie County Due Date: 05/11/2024
821 Bobbit Rd.SFR
Annual Fee: $60.00
Robert E.Price Jr.
821 Bobbit Rd
Mocksville,NC 27028
Notes:
- 1. You may pay either by mail with check/money order OR by electronic payment(eCheck or Credit Card).
2. If payment is by check/money order,please remit payment to:
NCDEQ-Division of Water Resources
Attn: Animal/Discharge/Non-Discharge Billing
1617 Mail Service Center
Raleigh,NC 27699-1617.
3. If payment is electronic,please see httnsJ/epay.deq.nc.00v/wo-epavmerlts.html to pay electronically_ Payments by eCheck Will
debit your checking account Credit cad transactions will incur a convenience fee.
4. Please include your Permit Number and Invoice Number on all correspondence.
5. A$25.00 processing fee will be charged for retuned checks in accordance with North Carolina General Statute 25-3-512.
6. The Department cannot accept checks older than 6 months under Uniform Commercial Code 4-404.
7. Non-Payment of this fee by the payment due date will Mte the permit revocation process.
8. Should you need to update any Owner/Pem it!Contact Information or have any questions regardng this trvoice,please send
email to Non-Dischame.ReoortsCmtldeq.nc.aov or you may also contact the following:
-Non-discharge Program Administrative Contact at 919-707-3654 or
-Annual Administering and Compliance Fee Coordinator at 919-707-3698
9. Please verify your facility affiliations using the following Zink: _
htto://dertnc.gov/about/divisions/water-resourceslwater-resources-permits/wastewater-branchlnon-discharge-permittinq-unit/application
(Return This Portion With Check)
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ANNUAL PERMIT INVOICE
Open
Invoice Number. 2024PR003651 Annual Fee Period: 05/01/2024 to 04/302025
Permit Number: W00000807
Invoice Date: 4/11/2024
Davie County
821 Bobbit Rd.SFR Due Date: 5/11/2024
Annual Fee: $60.00
Robert E.Price Jr.
821 Bobbit Rd
Mocksville,NC 27028 Check Number:

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