NCG020805_Rtn Invoice_20190916

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY III I I liii
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INVOICE * 2 0 1 9 P R 0 0 8 7 1 3 *
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: 2019PR008713 fl
/] .- 6L- ���l(/G&1 ( Annual Fee Period: 2019-10-01 to 2020-09-30
Permit Number: NCG020805 (l �)/> Date 09/05/2019
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Brunswick County
Midway Mine ` (((/// W ga V C/ Due Date: 10/05/2019
Thomas Young Jr. Annual Fee: $100.00
Archway off fi esInnc
6339 Ocean Hwy BggjtjePRpli#tI � 14sRajtt2aa �;'Ijtj�jll€lt�e;I� EI[
Winnabow,NC 28479?(I-N
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Payment Options: v ' -'d th t)
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1. Electronic payment is convenient and quit
browser. If you select eCheck,there will be _ t 6-r/911/606.6 Z 3 O 9,L Z
convenience fee for a debit card is$3.95. You will receive a receipt immediately after payment via email.
2. To pay by mail,please make your check payable to"DEMLR Stormwater Program"and include the invoice number on the check.
Then,detach the invoice below and write the check number on the invoice. A$25.00 processing fee will be charged
for returned checks in accordance with N.C.General Statute 25-3-512.
Remit payments by mail to: ),�1`'� / Y4
NCDEQ-Division of Energy,Mineral and Land Resources Yr l
Attn: Stormwater Billing Thov& l
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1612 Mail Service Center c /
Raleigh,NC 27699-1612 16/ bf Al 5 CO{n -Illy i / ,
3. Non-payment of this fee by the payment due date will initiate the permit revocation process. �� y
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4. Please include your permit number in all correspondence. ��r GI-an
5. Should you have any questions,please contact the Fee Coordinator at(919)707-9220. p
(Return This Portion With Check) 7o 7- 60(1u
Ii 1 E II1111 II I 1111111 . III III II
* 2019PR008713 *
ANNUAL PERMIT INVOICE
Open
Invoice Number: 2019PR008713 Annual Fee Period: 2019-10-01 to 2020-09-30
Permit Number: NCG020805
Brunswick County Invoice Date: 9/5/2019
Midway Mine Due Date: 10/5/2019
Annual Fee: $100.00
Thomas Young Jr.
Archway Homes Inc
6339 Ocean Hwy Check Number: _
Winnabow,NC 28479