NCC214286_Annual Fee NOD Review_20220818

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 6/30/2022 7:49:24 AM (Workflow Start Event)
Submit by Holloman, Tevye L 8/17/2022 3:59:00 PM (2022 Annual Fee Payment Verification for NCC214286-2022)
• Holloman, Tevye L assigned the task to Holloman, Tevye L 8/17/2022 3:58 PM
• The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: August 11, 2022 5:00 PM
6/30/2022 7:49 AM
Submit by Holloman, Tevye L 8/18/2022 8:07:20 AM (NOD Review Step - 2022 Fees)
F Kim Young
• Holloman, Tevye L assigned the task to Holloman, Tevye L 8/18/2022 8:06 AM
The task was assigned to DEMLR NCG01 NOD Team. The due date is: October 16, 2022 5:00 PM
8/17/2022 3:59 PM

STA—
NORTH CAROLINA
Environmental Quallty
Certificate of NCC214286
Coverage (COC) No.*
NC Reference COC NCG01-2021-4286
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Already Rescinded?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*
Antiquity MOB
Project Address *
20030 Zion Avenue, Cornelius, NC
Permittee*
Antiquity MOB, LLC
County Mecklenburg
Invoice No.* NCC214286-2022
Annual Fee* $ 100.00
Invoice Date* 7/1/2022
Invoice Due Date* 8/1/2022
Date NOD sent for no 8/17/2022
payment*
At the time non -receipt was recorded and the NOD was sent, the payment was 16 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 [e-mail]
(If available)
CONFIRM Billing E- [e-mail]
mail Opportunity to correct problem e-mail address or billing contact info
Billing Telephone No. 17045750369

Additional Billing Contact E-mails
Additional E-mail for
CC:
Days Overdue 17
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 8/18/2022
Received or
Resolved *
Method of Payment* electronic
check
other
ePayment 648873596
Transaction Number*
Fee Status* PAID
Compliance Review 8/18/2022
Date *