NCC190539_Annual Fee Invoice_20201027

North Carolina Department of Environmental Quality
Division of Energy, Mineral and Land Resources
Stormwater Program
NPDES Construction Stormwater Permit
F"p-; ol knwr­Jal INVOICE
Annual Permit Fee
This Construction Stormwater annual fee is required by the North Carolina Administrative Code 143-
215.D(a). The fee covers the administrative costs associated with your permit. The fee 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 No: NCC190539-2020
Certificate of Coverage No.: NCC190539
Effective Date: 06/07/2019
Project Name: Store #20498 Leasburg, NC
Dollar General
Legally Responsible Person:
Zach Crumley
more Development, LLC.
ISTI t:L�1.11;
GA 31757
Invoice Date: 10/27/2020
Due Date: 11/27/2020
I Fee Period: Oct 2020 to Jun 2021
I Fee: $100
Telephone: [phone]
Site Contact: Cory Parramore
Site Contact E-mail:
[e-mail]
Electronic payment option is preferred. Type https://deq.nc.gov/SW-epayments into your browser. If
you select eCheck, there is no convenience fee. The convenience fee for a credit card is 2.65% and
convenience fee for debit card is $3.95
If you must pay with paper check, please make your check payable to "DEMLR Stormwater Program"
and include the Certificate of Coverage No. in the memo field alone with a copy of this invoice.
$25.00 processing fee will be charged for returned check in accordance with North Carolina General
atute 25-3-512.
Remit to: NCDEQ— Division of Energy, Mineral and Land Resources
Stormwater Program
1612 Mail Service Center
Raleigh NC 27699-1612