NCC203747_Annual Fee Payment Record_20210908

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 8/31/2021 7:34:56 AM (Workflow Start Event)
Submit by Morman, Alaina 9/8/2021 12:22:48 PM (2021 Annual Fee Payment Verification for NCC203747-2021)
* NOT approved 91812021.
• Morman, Alaina assigned the task to Morman, Alaina 9/8/2021 11:39 AM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: October 12, 2021 5:00
PM 8/31 /2021 7:35 AM

SfA7$ q,
NORTH CAROLINA
Envlrmmentuf Quuftty
Certificate of NCC203747
Coverage (COC) This is passed fromtheworkflowwhen the invoice isfiled.
No. *
NC Reference COC NCG01-2020-3747
No.*
Permit Status: INACTIVE
Already Rescinded:
9/8/2021
This field appears if the pernit has already been terminated.
Year COC Issued
2020
This field will be hidden.
2020 Fee Status
Check last year's fee status
WAIVE FEE? *
r Yes, Payment Not Applicable
r No, Payment Still Applies
Project Name *
Lots 61 and 80 in The Sentinels Subdivision
Project Address* 5136 and 5105 Thruway Road, Gray's Creek, NC
Permittee * Southern Craftsman Homes, Inc.
County Cumberland
Invoice No. * NCC203747-2021
This is passed from the workflow when the invoice is filed.
Annual Fee * $ 100.00
Invoice Date * 9/1/2021
This is passed from the workflow when the invoice is filed.
Invoice Due Date* 10/1/2021
This is passed from the 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 Payme nt 9/8/2021
Received* Or, if WAN®or NOT FECBV®, this is the date that status is recorded.

e Payme nt
Transaction
Number*
Check Number*
Fee Status* WAIVED
Legally Responsible Joseph Perkins
Person (Orig.)
Original Permittee E- office. [e-mail]
mail *
CONFIRM Permittee office. [e-mail]
E-mail * Opportunity to rrodify problem e-mail address or perrrittee contact info
Original Site Contact office. [e-mail]
E-mail *
CONFIRM Site office. [e-mail]
Contact E-mail * Opportunity to correct problem e-rrail address or site contact info
Original Billing E- (It available)
mail
CONFIRM Billing E- Opportunity to correct probleme-nail address or billing contact info
mail
Billing Telephone
No.
Permittee Email for office. [e-mail]
30-day Reminder This is the errail for the 30-day reminder if needed (passed fromworldlow).
Site Contact Email office. [e-mail]
for 30-day Reminder This is the mail for the 34day reminderif needed (passed fromworldlow)
Billing Contact Email This is theenailforthe3t}dayrerrinderifneeded (passed fromworldlow).
for 30-day Reminder
Additional Billing Contact E-mails
Additional E-mail for
CC:
Review Date * 9/8/2021