NCC191562_Annual Fee Payment Record_20201125

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11/16/2020 5:34:34 PM (Workflow Start Event)
Submit by Selkane, Aziza 11/25/2020 9:05:01 AM (Annual Fee Payment Verification for NCC191562-2020)
* NC Shallotte Smith LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 11/25/2020 9:04 AM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: December 28, 2020 5:00
PM 11/16/2020 5:34 PM

NORTH CAROLINA
Environmental Quvllty
Certificate of NCC191562
Coverage (COC) This is passed fromtheworldlow when the invoice isfiled.
No.*
NC Reference COC NCG01-2019-1562
No.*
Permit Status:
Project Name*
Active
NC Shallotte-Smith
Project Address* Corner of US Highway 17 Business & Smith Avenue, Shallotte, NC
Permittee * NC-Shallotte Smith, LLC.
County Brunswick
Invoice No.* NCC191562-2020
This is passed fromthe worldlow when the invoice is filed.
Annual Fee * $ 100.00
Invoice Date* 11/17/2020
This is passed fromthe worldlow when the invoice is filed.
Invoice Due Date* 12/17/2020
This is passed fromthe worldlow 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 /25/2020
Received * Or, if WAIVBD or NOT FECBV®, this is the date that status is recorded.
Method of Payment* r electronic
r check
f other
Check Number* 10165
Fee Status* PAID
Legally Responsible Phillip Wilson
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-mail address or site contact info
Additional Billing Contact E-mails
Additional E-mail for
CC:
Review Date * 11/25/2020