NCC193083_Annual Fee Payment Record_20210112

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 12/7/2020 5:21:51 PM (Workflow Start Event)
Submit by Selkane, Aziza 1/12/2021 8:49:22 AM (Annual Fee Payment Verification for NCC193083-2020)
* Nathan Tidd
• Selkane, Aziza assigned the task to Selkane, Aziza 1/12/2021 8:48 AM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: January 18, 2021 5:00
PM 12/7/2020 5:21 PM

NORTH CAROLINA
Environmental Quvllty
Certificate of NCC193083
Coverage (COC) This is passed fromtheworldlow when the invoice isfiled.
No.*
NC Reference COC NCG01-2019-3083
No.*
Permit Status:
Project Name*
Active
Atrium Union West
Project Address* 1500 Stallings Road, Stallings, NC
Permittee * The Charlotte Mecklenburg Hospital Authority
County Union
Invoice No.* NCC193083-2020
This is passed fromthe worldlow when the invoice is filed.
Annual Fee * $ 100.00
Invoice Date* 12/8/2020
This is passed fromthe worldlow when the invoice is filed.
Invoice Due Date* 1/8/2021
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.
Days Overdue 4
Wait at least 15 days until proceeding to NOD.
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 1/12/2021
Received* Or, if WAN®or NOT FECHV®, this is the date that status is recorded.
Method of Payment*
r electronic
f check
f other
ePayment
553150469
Transaction
Number*
Fee Status* PAID

Legally Responsible Tom Washington
Person (Orig.)
Original Permittee E- [e-mail]
mail *
CONFIRM Permittee [e-mail]
E-mail * Opportunity to rrndify probleme-nail 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 * 1/12/2021