NCC211132_Annual Fee Payment Record (2023 Fee)_20230206

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 1/31/2023 8:45:42 AM (Workflow Start Event)
Submit by Clark, Paul B 2/6/2023 6:34:41 PM (2023 Annual Fee Payment Verification for NCC211132-2023)
F COC rescinded
• Clark, Paul B assigned the task to Clark, Paul B 2/6/2023 6:34 PM
• The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: March 14, 2023 5:00 PM
1 /31 /2023 8:45 AM

STA—
NORTH CAROLINA
Environmental Quallty
•
Certificate of
NCC211132
Coverage (COC) No. *
This is passed from the workflow when the invoice is filed.
NC Reference COC
NCG01-2021-1132
No.*
Permit Status:
INACTIVE
Already Rescinded:
2/6/2023
This field appears if the permit has already been terminated.
Year COC Issued
2021
This field will be hidden.
Check previous years for outstanding fees (years that do not apply will be blank):
2020 Fee Status
2021 Fee Status 2022 Fee Status
PAID
WAIVE FEE? *
Yes, Payment Not Applicable
No, Payment Still Applies
Project Name*
210 Kings Ridge Court
Project Address*
210 Kings Ridge Court, Southern Pines, NC
Permittee*
Latitude Builders, LLC
County
Moore
Invoice No.*
NCC211132-2023
This is passed from the workflow when the invoice is filed.
Annual Fee*
$ 100.00
Invoice Date*
2/1/2023
This is passed from the workflow when the invoice is filed.
Invoice Due Date*
3/1/2023
This is passed from the workflow when the invoice is filed.
An automated email reminder is sent to the permittee when the invoice is due. Wait until invoice is 15 days overdue
before proceeding to a Notice of Deficiency.
Important: If you change the choice below to Payment NOT RECEIVED, the fee status becomes PAST DUE, and the
permittee will receive a Notice of Deficiency.
Annual Fee Payment Fee Payment Received or Not Applicable.
Received* Fee Payment NOT RECEIVED.
Date Payment 2/6/2023
Received * Or, if WAIVED or NOT RECEIVED, this is the date that status is recorded.

ePayment
Transaction Number*
Check Number*
Fee Status* WAIVED
Legally Responsible Tyler Cook
Person (Orig.)
Permittee E-mail* [e-mail]
CONFIRM Permittee [e-mail]
E-mail* Opportunity to modify problem e-mail address or permittee contact info
Site Contact E-mail* [e-mail]
CONFIRM Site [e-mail]
Contact E-mail* Opportunity to correct problem e-mail address or site contact info
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.
9106903969
Permittee Email for
[e-mail]
30-day Reminder
This is the email for the 30-day reminder if needed (passed from workflow).
Site Contact Email for
[e-mail]
30-day Reminder
This is the email for the 30-day reminder if needed (passed from workflow)
Billing Contact Email [e-mail]
for 30-day Reminder This is the email for the 30-day reminder if needed (passed from workflow).
Project Name for 30- 210 Kings Ridge Court
day Reminder The project name is passed from workflow for the 30-day reminder
Permittee Name for
Latitude Builders, LLC
30-day Reminder
The permittee is passed from workflow for the 30-day reminder
County for 30-day
Moore
Reminder
The county is passed from workflow for the 30-day reminder
Additional Billing Contact E-mails
Additional E-mail for
CC:
Review Date * 2/6/2023