NCG090029_Returned Invoice_20191117

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY fl l II MIII11111'111111111 DIII II 111 111
INVOICE * 2 0 1 9 P R 0 1 0 1 1 2 *
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: 2019PR010112 35(0.„ 41x l_ 1 1 5 T Annual Fee Period: 2019-12-01 to 2020-11-30
Permit Number: NCG090029 �( `�/ Invoice Date: 11/05/2019
Mecklenburg County ` rr�wA-, �• �U.���y►p �
Renner USA Corporation i r ( Due Date: 12/05/2019
Leopold Migoto ` da►5—_ l 1 U Annual Fee: $100.00
Renner USA Corporation xx E
POBox7172 274 EE 1e11.�sT/1•9
High Point, NC 27264 RE TURN TO St°,gOE1
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Payment Options:
1. Electronic payment is convenient and q =" _J 1'!'ti3}�jj'IF'=1IIII;jtl,It;jell;I }°Fll' ll l;;-;rl;jiljl Ilil
browser. If you select eCheck,there will
convenience fee for a debit card is$3.95. You AIM receive
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:
NCDEQ-Division of Energy,Mineral and Land Resources
Attn: Stormwater Billing
512 N.Salisbury Street
1612 Mail Service Center
Raleigh,NC 27699-1612
3. Non-payment of this fee by the payment due date will initiate the permit revocation process.
4. Please include your permit number in all correspondence.
5. Should you have any questions,please contact the Fee Coordinator at(919)707-9220.
(Return This Portion With Check)
1111111 11111 II 'III 11111111111
* 2 0 1 9 P R 0 1 0 1 1 2 *
ANNUAL PERMIT INVOICE
Open
Invoice Number: 2019PR010112 Annual Fee Period: 2019-12-01 to 2020-11-30
Permit Number: NCG090029
Mecklenburg County Invoice Date: 11/5/2019
Renner USA Corporation Due Date: 12/5/2019
Annual Fee: $100.00
Leopold Migoto
Renner USA Corporation
PO Box 7172 Check Number:
High Point,NC 27264