NCC191171_Annual Fee NOD Review_20210901

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 6/30/2021 7:17:34 AM (Workflow Start Event)
Submit by Selkane, Aziza 8/17/2021 8:52:01 AM (2021 Annual Fee Payment Verification for NCC191171-2021)
• Selkane, Aziza assigned the task to Selkane, Aziza 8/17/2021 8:51 AM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: August 11, 2021 5:00
PM 6/30/2021 7:17 AM
Submit by Miller, Ariyelle L 9/1/2021 10:55:40 AM (NOD Review Step - 2021 Fees)
* Boma North Carolina, LLC
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 9/1/2021 10:54 AM
The task was assigned to DEMLR NCG01 NOD Team. The due date is: October 16, 2021 5:00 PM
8/17/2021 8:52 AM

NORTH CAROLINA
Environmental Quvllty
Certificate of
NCC191171
Coverage (COC)
No.*
NC Reference COC
NCG01-2019-1171
No.*
Permit Status:
Active
This status is updated (not passed from Payment Form)
Already Rescinded?
Look -up re -checks this date (it is not passed from the Payment Form)
Project Name *
Amenities Center, Phase 1
Project Address*
Teague Lane, Kernersville, NC
Permittee *
BOMA North Carolina, LLC
County Forsyth
Invoice No. NCC191171-2021
Annual Fee * $ 100.00
Invoice Date* 7/1/2021
Invoice Due Date* 8/1/2021
Date NOD sent for 8/17/2021
no payment*
At the time non -receipt was recorded and the NOD was sent, the payment was 16 days overdue. At that time, the permit
status was Active. The fee status remains PAST DUE unless resolved at this review step.
Original Permittee E- [e-mail]
mail *
CONFIRM Permittee
[e-mail]
E-mail *
Opportunity to rrodify probleme-nail address or legally responsible person
Original Site Contact
[e-mail]
E-mail *
CONFIRM Site
[e-mail]
Contact E-mail *
Opportunity to correct probleme-mail address or site contact info
Original Billing E-
(If available)
mail
CONFIRM Billing E-
Opportunity to correct problem e-mail address or billing contact info
mail

Billing Telephone
No.
Additional Billing Contact E-mails
Additional E-mail for
CC:
Days Overdue 31
This is how many days overdue the fee is now (at NOD review).
Days Since NOD 15
Sent * Wait 30 days before proceeding to NOV.
Has Payment Been F Payment has been resolved (PAID).
Resolved?* r Payment has been resolved (WAIVED).
r NO. Payment has not been resolved (PROCEED TO NOV).
Date Payment 9/1/2021
Received or
Resolved*
Method of Payment* r electronic
f check
r other
e Payme nt 590500375
Transaction
Number*
Fee Status* PAID
Compliance Review 9/1/2021
Date *