NCC201074_MODIFICATION Supporting Doc (Invoice)_20230417

North Carolina Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
Stormwater Program
eno"-1, D — 'A
E NPDES Construction Stormwater Permit
INVOICE
Annual Permit Fee
his Construction Stormwater annual fee is required by the North Carolina Administrative Code 143-215.D(a).
he fee covers the administrative costs associated with your permit. The fee is required of any person holding a
ermit for any time during the annual fee period, regardless of the facility's operating status. Failure to pay the
=_e by the due date will subject the permit to revocation. Operating without a valid permit is a violation and is
ubject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is needed, you must
=apply, with the understanding the permit request may be denied due to changes in environmental,
=gulatory, or modeling conditions.
nvoice No: NCC201074-2023
Certificate of Coverage No.: NCC201074
Effective Date: 3/19/2020
Project Name: Pfizer Pharmaceuticals GTx2
Contractor Parking
�gally Responsible Person:
ony Mulcahy
yeth Holdings LLC
00 Oak Park Road
anford, NC
7330
nvoice Date: 3/1/2023
)ue Date: 4/1/2023
nnual Fee Period: Mar 2023 to Mar 2024
nual Fee: $100
ail: [e-mail]
Telephone: [phone]
Site Contact: Charles Powell
to Contact E-mail: [e-mail]
ectronic payment option is preferred. Type https://deg.nc.gov/SW-epaVments into your browser. If you
!lect eCheck, there is no convenience fee. The convenience fee for a credit card is 2.65% and the convenience
for debit card is $3.95.
f you must pay with paper check, please make your check payable to "DEMLR Stormwater Program" and
include the Certificate of Coverage No. in the memo field along with a coov of this invoice.
$25.00 processing fee will be charged for returned check in accordance with North Carolina General Statute
5-3-512. Contact Tev Holloman at [e-mail] or [phone] with any questions.
t to: NCDEQ— Division of Energy, Mineral, and Land Resources
Stormwater Program
1612 Mail Service Center
Raleigh NC 27699-1612
this project has been closed out or sold, you must submit a Notice of Termination (NOT) request here:
tps://edocs.deg.nc.gov/Forms/NCG01-Termination (New owners must obtain a new COC)