NCC193018_Annual Fee NOD Review_20220119

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11/29/2021 5:29:42 PM (Workflow Start Event)
Submit by Selkane, Aziza 1/18/2022 6:25:46 AM (2021 Annual Fee Payment Verification for NCC193018-2021)
• Selkane, Aziza assigned the task to Selkane, Aziza 1/18/2022 6:25 AM
• The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: January 10, 2022 5:00
PM 11/29/2021 5:29 PM
Submit by Morman, Alaina 1/19/2022 4:58:08 PM (NOD Review Step - 2021 Fees)
• Morman, Alaina reassigned the task to Morman, Alaina 1/19/2022 4:57 PM
The task was assigned to DEMLR NCG01 NOD Team. The due date is: March 19, 2022 5:00 PM
1/18/2022 6:26 AM

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NORTH CAROLINA
Envlrmmm(af Quafhy
Certificate of
NCC193018
Coverage (COC) No.*
NC Reference COC
NCG01-2019-3018
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Already Rescinded?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*
Kernersville State Veterans Home
Project Address*
Kernersville Medical Parkway, Kernersville, NC
Permittee*
Rodgers Builders , Inc.
County
Forsyth
Invoice No.*
NCC193018-2021
Annual Fee*
$ 100.00
Invoice Date*
12/1/2021
Invoice Due Date*
1/1/2022
Date NOD sent for no
1/18/2022
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 18
This is how many days overdue the fee is now (at NOD review).
Days Since NOD 1
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 1/19/2022
Received or
Resolved *
ePayment
Transaction Number*
Check Number*
Fee Status* WAIVED
Compliance Review 1/19/2022
Date *