NCG020820_Billing Update_20210903

vrrac U Yuu seiecc euneck, there will be no convenience fee. The Conveni n f for a crew l �a •-
convenience fee for a debit card is $3.95.
2. To pay by mail, please make a our check -r able to "DFMI R Stormwater Program" and include the invoice number on the check.
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Then, detach the invoice below and write the check number on the invoice. A $25.00 processing fee will be charged
for returned checks in accordance with N.C. General Statute 25-3-512. /
Remit payments by mail to � !�J ✓
NCDEQ - Division of Energy, Mineral and Land Resources
Attn: Stormwater Billing
512 N. Salisbury Street U 11
1612 Mail Service Center
Raleigh, NC 27699-1612
3. Non-payment of this fee by the payment due date will initiate the permit revocation process.
4. Please include your permit number in all correspondence.
5. Should you have any questions, please contact the Fee Coordinator at [phone].
(Return This Portion With Check) ` f
* 2 0 2 P R Q a
ANNUAL PERMIT INVOICE
Overdue
Invoice Number: 2021 PR002712 Annual Fee Period: 2021-05-01 tc 2022-04-3C
Permit Number: NCG02G820 Invoice Data: 4i5i2021
Moore County
Fred Smith Company Sand Pit Richmond County Due Date: 5,512C21
Annual Fee: $100•CO
James Riley B/PXIp"`
Fsc II 1- I DBA Fr mith Company 70 f ��� �� C'2,yt �� r �!
6644 Glendo arthage Rd Check Number. -
Whispe jes, NC 28327 $JffG ((a