NCC190451_Annual Fee Payment Record_20201106

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 10/27/2020 7:07:51 AM (Workflow Start Event)
Submit by Selkane, Aziza 11/6/2020 11:42:18 AM (Annual Fee Payment Verification for NCC190451-2020)
* City of Greensboro NC
• Selkane, Aziza assigned the task to Selkane, Aziza 11/6/2020 11:41 AM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: December 8, 2020 5:00
PM 10/27/2020 7:07 AM

NORTH CAROLINA
Environmental Quvllty
Certificate of
NCC190451
Coverage (COC)
This is passed fromtheworlflowwhen the invoice isfiled.
No.*
NC Reference COC
NCG01-2019-0451
No.*
Permit Status:
Active
Project Name*
Contract 2018-020, Summit Avenue Streetscape Improvements
Project Address*
Summit Avenue, Greensboro, NC
Permittee *
City of greensboro
County
Guilford
Invoice No.*
NCC190451-2020
This is passed fromthe workflow when the invoice is filed.
Annual Fee *
$ 100.00
Invoice Date*
10/27/2020
This is passed fromthe workflow when the invoice is filed.
Invoice Due Date*
11/27/2020
This is passed fromthe workflow when the invoice is filed.
An automated email reminder is sent to the permittee when the invoice is due. Wait until invoice is 15 days overdue
before proceeding to a Notice of Deficiency.
Important: If you change the choice below to Payment NOT RECEIVED, the fee status becomes PAST DUE, and the
permittee will receive a Notice of Deficiency.
Annual Fee Payment r Fee Payment Received or Not Applicable.
Received* r Fee Payment NOT RECEIVED.
Date Payment 11 /6/2020
Received * Or, if WAN®or NOT FECBV®, this is the date that status is recorded.
Method of Payment* r electronic
r check
f other
Check Number* 438835
Fee Status* PAID
Legally Responsible Ted Kallam
Person (Orig.)

Original Permittee E- [e-mail]
mail *
CONFIRM Permittee [e-mail]
E-mail * Opportunity to rrodify problem e-mail address or perrrittee contact info
Original Site Contact [e-mail]
E-mail *
CONFIRM Site [e-mail]
Contact E-mail * Opportunity to correct problem e-rrail address or site contact info
Additional Billing Contact E-mails
Additional E-mail for
CC:
Review Date * 11/6/2020