NCC204009_Annual Fee NOD Review_20211103

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 8/31/2021 7:38:28 AM (Workflow Start Event)
Submit by Selkane, Aziza 10/18/2021 10:01:39 AM (2021 Annual Fee Payment Verification for NCC204009-2021)
• Selkane, Aziza assigned the task to Selkane, Aziza 10/18/2021 10:00 AM
• The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: October 12, 2021 5:00
PM 8/31/2021 7:38 AM
Submit by Evans, Shaundra M 11/3/2021 9:39:58 AM (NOD Review Step - 2021 Fees)
F Krystal Harris
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/3/2021 9:39 AM
The task was assigned to DEMLR NCG01 NOD Team. The due date is: December 17, 2021 5:00 PM
10/18/2021 10:02 AM

S 'i
W
NORTH CAROLINA
Envlrmmm(af Quafhy
Certificate of
NCC204009
Coverage (COC) No.*
NC Reference COC
NCG01-2020-4009
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Already Rescinded?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*
Roberts Bakery - Warehouse Expansion
Project Address*
701 S. Jones Street, Pembroke, NC
Permittee*
701 South Jones Street LLC
County
Robeson
Invoice No.*
NCC204009-2021
Annual Fee*
$ 100.00
Invoice Date*
9/1/2021
Invoice Due Date*
10/1/2021
Date NOD sent for no
10/18/2021
payment*
At the time non -receipt was recorded and the NOD was sent, the payment was 17 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 modify problem e-mail address or legally responsible person
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
Original Billing E-mail
(If available)
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 33
This is how many days overdue the fee is now (at NOD review).
Days Since NOD 16
Sent* Wait 30 days before proceeding to NOV.
Has Payment Been • Payment has been resolved (PAID).
Resolved?* Payment has been resolved (WAIVED).
NO. Payment has not been resolved (PROCEED TO NOV).
Date Payment 11/3/2021
Received or
Resolved *
Method of Payment* electronic
check
other
ePayment 600792337
Transaction Number*
Fee Status* PAID
Compliance Review 11/3/2021
Date *