NCC200638_Annual Fee NOD Review_20220317

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 1/29/2022 5:43:08 PM (Workflow Start Event)
Submit by Selkane, Aziza 3/16/2022 5:15:49 AM (2022 Annual Fee Payment Verification for NCC200638-2022)
• Selkane, Aziza assigned the task to Selkane, Aziza 3/16/2022 5:15 AM
• The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: March 14, 2022 5:00 PM
1/29/2022 5:43 PM
Submit by Selkane, Aziza 3/17/2022 9:29:30 AM (NOD Review Step - 2022 Fees)
F Justin Hall
• Selkane, Aziza assigned the task to Selkane, Aziza 3/17/2022 9:28 AM
The task was assigned to DEMLR NCG01 NOD Team. The due date is: May 15, 2022 5:00 PM
3/16/2022 5:16 AM

STA—
NORTH CAROLINA
Environmental Quallty
Certificate of
NCC200638
Coverage (COC) No.*
NC Reference COC
NCG01-2020-0638
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Already Rescinded?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*
Dormie Club - Phase 2 Cottages
Project Address*
Beulah Hill Church Rd., West End, NC
Permittee*
Sampson Construction Co., Inc.
County
Moore
Invoice No.*
NCC200638-2022
Annual Fee*
$ 100.00
Invoice Date* 2/1/2022
Invoice Due Date* 3/1/2022
Date NOD sent for no 3/16/2022
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 16
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 3/17/2022
Received or
Resolved *
Method of Payment* electronic
check
other
ePayment 623517870
Transaction Number*
Fee Status* PAID
Compliance Review 3/17/2022
Date *