NCG060007_Invoice_20200211

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
INVOICE
Stormwater Annual Permit Fee
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This Stormwater annual fee is required by the North Carolina Administrative Code 143-215.D(a). 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: 2020PR000875
Permit Number: NCG060007
Rockingham County
Keystone Foods
Tom Harris
Keystone Foods
PO Box 1436
Reidsville, NC 27320
Payment Options:
Annual Fee Period: 2020-03-01 to 2021-02-28
Invoice Date: 02/04/2020
Due Date: 03/05/2020
Annual Fee: $100.00
I. Electronic payment Is convenient and quick. To pay by ePayment, type"https:lldeq.nc.gov/epayments/stormwatee Into your
browser. If you select eCheck, there vAll be no convenience fee. The convenience fee for a credit card is 2.65% and the
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 mall to:
NCOEQ -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 [phone].
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Invoice Number.
Permit Number:
Tom Harris
Keystone Foods
PO Box 1436
Reidsville. NC 27320
2020PR000875
NCGO60007
Rockingham County
Keystone Foods
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Annual Fee Period: 2020-03-01 to 2021-02-28
Invoice Date: 2/4/2020
Due Date: 3/5/2020
Annual Fee: $100.00
Check Number:
H