NCC204985_Annual Fee NOD Review_20211228

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 10/29/2021 7:56:48 AM (Workflow Start Event)
Submit by Selkane, Aziza 12/16/2021 7:41:41 AM (2021 Annual Fee Payment Verification for NCC204985-2021)
• Selkane, Aziza assigned the task to Selkane, Aziza 12/16/2021 7:41 AM
• The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: December 10, 2021 5:00
PM 10/29/2021 7:56 AM
Submit by Selkane, Aziza 12/28/2021 9:12:32 AM (NOD Review Step - 2021 Fees)
F Madison Simmons Holdings
• Selkane, Aziza assigned the task to Selkane, Aziza 12/28/2021 9:11 AM
The task was assigned to DEMLR NCG01 NOD Team. The due date is: February 14, 2022 5:00 PM
12/16/2021 7:42 AM

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NORTH CAROLINA
Envlrmmm(af Quafhy
Certificate of
NCC204985
Coverage (COC) No.*
NC Reference COC
NCG01-2020-4985
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Already Rescinded?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*
Aspen Station Townhomes
Project Address*
12 West Pine Street, Lincolnton, NC
Permittee*
Madison Simmons Holdings LLC
County
Lincoln
Invoice No.*
NCC204985-2021
Annual Fee*
$ 100.00
Invoice Date*
11/1/2021
Invoice Due Date*
12/1/2021
Date NOD sent for no
12/16/2021
payment*
At the time non -receipt was recorded and the NOD was sent, the payment was 15 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 27
This is how many days overdue the fee is now (at NOD review).
Days Since NOD 12
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 12/28/2021
Received or
Resolved *
Method of Payment* electronic
check
other
ePayment 609519484
Transaction Number*
Fee Status* PAID
Compliance Review 12/28/2021
Date *