NCG060283_Rtn Invoice_20200122

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY 11111111111111 11111 '0
INVOICE * 2 0 2 0 P R 0 0 0 2 0 7 *
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. :7?
sq.... gioInvoice Number: 2020PR000207 5;,1.. Annual F e Period: 2020-02-01 to 2021-01-31
Permit Number: NCG060283 is Date: 01/07/2020
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Lakeview Packing Compa VVVVTF ✓ r Due Date: 02/06/2020
Jacob Thomas Turnage Annual Fee: $100.00
Lakeview Packing Company Inc E XI E 2 76 "E. 1 0 0 01/2 2 /2 0
604 Lakeview Rd tt ETU.R.N 9 i1 S E N U E R
La Grange,NC 28551 NOT DELIVER AZ LE AS AD'v'RESSE'D
UNABLE TO FORWARD
Payment Options: C: 27699262.299 pg'1896-03 3 2 4-09-00
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1. Electronic payment is convenient and quick. To ' ` ' s: • "" <'� nr. �,t ez, ro 11 .4
browser. If you select eCheck,there will be no co ,
convenience fee for a debit card is$3.95.
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)
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* 2 0 2 0 P R 0 0 0 2 0 7 *
ANNUAL PERMIT INVOICE
Open
Invoice Number: 2020PR000207 Annual Fee Period: 2020-02-01 to 2021-01-31
Permit Number: NCG060283
Greene County Invoice Date: 1/7/2020
Lakeview Packing Company WWTF Due Date: 2/6/2020
Annual Fee: $100.00
Jacob Thomas Turnage
Lakeview Packing Company Inc
604 Lakeview Rd Check Number:
La Grange,NC 28551

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Business Corporation
Legal Name
Lakeview Packing Company, Inc.
Information
Sosld: 0082839
Status: Current-Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 7/2/1975
Fiscal Month: December
Registered Agent: Turnage, Jacob
Addresses
Mailing Principal Office Reg Office Reg Mailing
3739 Hwy 903 S 3739 Hwy 903 S 3739 Hwy 903 S 3739 Hwy 903 S
Snow Hill, NC 28580 Snow Hill, NC 28580 Snow Hill, NC 28580 Snow Hill, NC 28580
Officers
President
Jacob Turnage
3909 Hwy 903 S
Snow Hill NC 28580
Stock
Class: COMMON
Shares: 2000
Par Value 100
https://www.sosnc.gov/onlineservices/search/Business Registration_Results 2/6/2020

CA201925002728
SOS1D: 0082839
Date Filed: 9/16/2019 11:59:00 PM
•
.»>. Elaine F. Marshall
11:° t' BUSINESS CORPORATION ANNUAL REPOR' North Carolina Secretary of State
CA2019 259 02728
10-2017
NAME OF BUSINESS CORPORATION: Lakeview Packing Company, Inc.
0082839 Filing Office Use Only
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: NC
REPORT FOR THE FISCAL YEAR END: 1 2/31/201 8 r ❑�
SECTION A: REGISTERED AGENT'S INFORMATION
[1.6 A. Changes
1.NAME OF REGISTERED AGENT: Jacob Turnage
2.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3.REGISTERED AGENT OFFICE STREET ADDRESS&COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
3739 Hwy 903 S 3739 Hwy 903 S
Snow Hill, NC 28580 Greene Snow Hill, NC 28580 Greene
SECTION B:PRINCIPAL OFFICE INFORMATION
1.DESCRIPTION OF NATURE OF BUSINESS: Meat Processor
2.PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMA Privacy Redaction
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4.PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS i`.
a :3°+
3739 Hwy 903 S 3739 Hwy 903 S
Snow Hill, NC 28580 Greene Snow Hill, NC 28580 Greene
6.Select one of the following if applicable.(Optional see instructions)
UThe company is a veteran-owned small business
The company is a service-disabled veteran-owned small business
SECTION C:OFFICERS(Enter additional officers in Section E.)
NAME: Jacob Turnage NAME: NAME:
TITLE: President TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
3909 Hwy 903 S
Snow Hill, NC 28580 Greene
SECTION . ERTt (CATION UAL REPORT. Section D must be completed in its entirety by a person/business
entity. ......)1
� y
SIGNATUR DATE
Form must be signed by en officer listed under Section C of this form.
Jacob Turnage President
Print or Type Name of Officer Print or Type Title of Officer
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF$25
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525