NCG020752_Rtn Invoice_20200716

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY 11111111 lilt IL WIll 1111111
II
INVOICE * 2020PR005663 *
Stormwater Annual Permit Fee Open
This Stormwater annual fee is required by the North Carolina Administrative Code 143-215.D(a). It covers the administrat
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 lat
decide a permit is needed, you must reapply, with the understanding the permit request may be denied due to changes it
environmental, regulatory, or modeling conditions.
Invoice Number: 2020PR005663 Annual Fee Period: 2020-08-01 to 2021-07-31
Permit Number: NCG020752 Invoice Date: 07/03/2020
Harnett County
Riley II Pit Due Date: 08/02/2020
Karen Hilliard Annual Fee: $100.00
G S Materials Inc
696 Claude White Rd
Lemon Springs, NC 28355
Payment Options:
1. Electronic payment is convenient and quick. To pay by ePayment,type"https://deq.nc.gov/epayments/stormwater"into your
browser. If you select eCheck, there will 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 mail to: N I XI E 2 7 6 DE 1 0 0 0 7 /16/20
NCDEQ-Division of Energy,Mineral and Land R —RETURN. TO SENDER
Attn: Stormwater Billing MOTC'ELI lER'.�3 _E AS -ADDRESSED
512 N.Salisbury Street :•NAB;_E TO P eta w Ao D
1612 Mail Service Center *2 6 g 0_0 2 4& 6—16—2 3
Raleigh,NC 27699-1612 B C: 27699161299
3. Non-payment of this fee by the payment due date will initial
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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)
I IF] I II II I I II II'i l I I I I II ii
* 2 0 2 0 P R 0 0 5 6 6 3 *
ANNUAL PERMIT INVOICE
Open
Invoice Number: 2020PR005663 Annual Fee Period: 2020-08-01 to 2021-07-31
Permit Number: NCG020752
Harnett County Invoice Date: 7/3/2020
Riley II Pit Due Date: 8/2/2020
Annual Fee: $100.00
Karen Hilliard
G S Materials Inc
696 Claude White Rd Check Number:
Lemon Springs, NC 28355