NCC205578_Annual Fee NOD Review_20220725

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 12/30/2021 10:08:44 PM (Workflow Start Event)
Submit by Selkane, Aziza 2/18/2022 7:31:33 AM (2022 Annual Fee Payment Verification for NCC205578-2022)
• Selkane, Aziza assigned the task to Selkane, Aziza 2/18/2022 7:31 AM
• The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: February 10, 2022 5:00
PM 12/30/2021 10:08 PM
Submit by Tran, Kieu M 7/25/2022 10:07:45 AM (NOD Review Step - 2022 Fees)
P COP Pittsboro LLC
• Tran, Kieu M assigned the task to Tran, Kieu M 7/25/2022 10:07 AM
• Clark, Paul B reassigned the task to DEMLR NCG01 NOD Team 7/20/2022 5:08 PM
• Clark, Paul B assigned the task to Clark, Paul B 7/20/2022 4:56 PM
• The task was assigned to DEMLR NCG01 NOD Team. The due date is: April 19, 2022 5:00 PM
2/18/2022 7:31 AM

STA—
NORTH CAROLINA
Environmental Quallty
Certificate of
NCC205578
Coverage (COC) No.*
NC Reference COC
NCG01-2020-5578
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Already Rescinded?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*
COD Dialysis Center
Project Address *
Rock Springs Chirch Cemetery Road, Baldwin, NC
Permittee*
COP Pittsboro, LLC
County
Chatham
Invoice No.*
NCC205578-2022
Annual Fee* $ 100.00
Invoice Date* 1/3/2022
Invoice Due Date* 2/3/2022
Date NOD sent for no 2/18/2022
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 172
This is how many days overdue the fee is now (at NOD review).
Days Since NOD 157
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 7/25/2022
Received or
Resolved *
Method of Payment* electronic
check
other
ePayment 644183987
Transaction Number*
Fee Status* PAID
Compliance Review 7/25/2022
Date *