NCC200472_Annual Fee NOD Review_20220615

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 1/29/2022 5:41:23 PM (Workflow Start Event)
Submit by Selkane, Aziza 3/16/2022 5:05:56 AM (2022 Annual Fee Payment Verification for NCC200472-2022)
• Selkane, Aziza assigned the task to Selkane, Aziza 3/16/2022 5:05 AM
• The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: March 14, 2022 5:00 PM
1/29/2022 5:41 PM
Submit by Clark, Paul B 6/15/2022 11:29:21 PM (NOD Review Step - 2022 Fees)
P Project closed out 3/8/2022. In addition, legally/responsible entity Brian Dey passed away last year.
COC rescinded.
• Clark, Paul B assigned the task to Clark, Paul B 6/15/2022 11:25 PM
The task was assigned to DEMLR NCG01 NOD Team. The due date is: May 15, 2022 5:00 PM
3/16/2022 5:06 AM

STA—
NORTH CAROLINA
Environmental Quallty
Certificate of
NCC200472
Coverage (COC) No.*
NC Reference COC
NCG01-2020-0472
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Already Rescinded?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*
BJ's Restaurant & Brewhouse
Project Address*
Concord Mills Blvd, Concord, NC
Permittee*
Dewberry Engineers Inc.
County
Cabarrus
Invoice No.*
NCC200472-2022
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 106
This is how many days overdue the fee is now (at NOD review).
Days Since NOD 91
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 6/15/2022
Received or
Resolved *
ePayment
Transaction Number*
Check Number*
Fee Status* WAIVED
Compliance Review 6/15/2022
Date *