NCG550588_Unknown Owner_20240502

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY III I III III II II II IIIIII II II II
INVOICE * 2 0 2 3 P R o 0 9 6 0 0 *
Annual Permit Fee Overdue
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated
with your permit. It is required of any person holding a permit for any time during the annual fee period, regardless
of the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation.
Operating without a valid permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and
you later decide a permit is needed, you must reapply, with the understanding the permit request may be denied
due to changes in environmental, regulatory, or modeling conditions.
Invoice Number: 2023PR009600 Annual Fee Period: 11/01/2023 to 10/31/2024
Permit Number: NCG550588 Invoice Date: 10/04/2023
Stokes County Due Date: 11/03/2023
2745 Lynchburg Road
Annual Fee: $60.00
Thomas Paul Ga liardo
7616 Middle Dr 9 \ IY-11�S n
Greensboro, NC 27409
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Notes: ( �' ��n j�G ` L S l l)O 1 CSZ •
1. You may pay either by mail with check/money order OR by electronic payment(eCheck or Credit Card).
2. If payment is by check/money order, please remit payment to:
NCDEQ-Division of Water Resources Vi2S2CLS C�fuJG� -Attn: Animal/Discharge/Non-Discharge Billing U
1617 Mail Service Center
Raleigh, NC 27699-1617
3. If payment is electronic, please see https://epay.deq.nc.gov/wq-epavments.html to pay electronically. Payments by eCheck will
debit your checking account. Credit card transactions will incur a convenience fee.
4. Please include your Permit Number and Invoice Number on all correspondence.
5. A$25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512.
6. The Department cannot accept checks older than 6 months under Uniform Commercial Code 4-404.
7. Non-Payment of this fee by the payment due date will initiate the permit revocation process.
8. Should you need to update any Owner/Permit/Contact information or have any questions regarding this invoice, please send
email to dwgepayl deq.nc.gov or you may also contact the following:
-NPDES WW Program Administrative Contact at 919-707-3601 or
-Annual Administering and Compliance Fee Coordinator at 919-707-3698
(Return This Portion With Check)
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* 2 0 2 3 P R 0 0 9 6 0 0 *
ANNUAL PERMIT INVOICE
Overdue
Invoice Number: 2023PR009600 Annual Fee Period: 11/01/2023 to 10/31/2024
Permit Number: NCG550588 Invoice Date: 10/4/2023
Stokes County
2745 Lynchburg Road / Due Date: 11/3/2023
Annual Fee: $60.00
Thomas Paul Gagliardo
7616 Middle Dr
Greensboro, NC 27409 / Check Number: