NCC233011_Annual Fee Payment Record (2024 Fee)_20241004

Action History (UTC-05:00)Eastern Time(US&Canada)
by Workflow 9/28/2024 12:14:18 PM (Workflow Start Event)
Submit by Tev.Holloman 10/4/2024 11:01:05 AM (2024 Annual Fee Payment Verification for NCC233011-2024)
0 CMC Jomada
• The task was assigned to DEMLR NCG01 Annual Fee Team.The due date is: November 11,2024 5:00
PM 9/28/2024 12:14:18 PM
• Tev.Holloman assigned the task to Tev.Holloman 10/4/2024 11:00:01 AM

2024 Annual Fee Payment Verification
NORTH CAROLINA
Environmental Quality
Certificate of NCC233011
Coverage(COC)No.* This is passed from the workflow when the invoice is filed.
NC Reference COC NCG01-2023-3011
No.*
Permit Status: Active
Expiration Date 3/31/2029
Year COC Issued 2023
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
2023 Fee Status
Project Name* Holt Campus at Flynnwood and Main
Project Address* 0 N. Main St, Kernersville, NC
Permittee* CMC Jomada Holdings, LLC
County Forsyth
Invoice No.* NCC233011-2024
This is passed from the workflow when the invoice is filed.
Annual Fee* $ 120.00
Invoice Date* 10/1/2024
This is passed from the workflow when the invoice is filed.
Invoice Due Date* 11/1/2024
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 10/4/2024
Received* Or,if WAIVED or NOT RECEIVED,this is the date that status is recorded.

Method of Payment* electronic
check
other
ePayment 770035444
Transaction Number*
Fee Status* PAID
Legally Responsible Michael Criscuolo
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. 336-549-8172
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- Holt Campus at Flynnwood and Main
day Reminder The project name is passed from workflow for the 30-day reminder
Permittee Name for CIVIC Jomada Holdings, LLC
30-day Reminder The permittee is passed from workflow for the 30-day reminder
County for 30-day Forsyth
Reminder The county is passed from workflow for the 30-day reminder
Additional Billing Contact E-mails
Additional E-mail for
CC:
Review Date* 10/4/2024

Holloman, Tevye L
From: Holloman, Tevye L
Sent: Wednesday, October 9, 2024 4:08 PM
To: [e-mail]
Cc: Georgoulias, Bethany
Subject: RE: [External] Construction SW General Permit Annual Fee Owed - NCC233011
Good afternoon,
This email is to inform you that we have received check #1263 in the amount of $145 to cover the permit and return
item fees.
Thanks,
Tevye (Tev) Holloman (he, him)
Administrative Billing Specialist
DEMLR Stormwater Program
Office: [phone]
Tev.HollomanPdeq.nc.gov
North Carolina Department of Environmental Quality
Division of Energy, Mineral, and Land Resources Stormwater Program
512 N. Salisbury Street, Raleigh, NC 27604 (location)
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing)
Website: http//deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
From: Holloman, Tevye L
Sent: Monday, October 7, 2024 10:29 AM
To: [e-mail]
Cc: Georgoulias, Bethany <[e-mail]>
Subject: RE: [External] Construction SW General Permit Annual Fee Owed - NCC233011
Good morning,
The account which payment was applied for annual invoice NCC233011-2024 was deemed invalid (see below).
Payment due now is $145. $120 to cover the annual permit fee and $25 to cover the returned item fee (ref. NCGS
105-357). Payment can no longer be made online and must be in the form of a check or money order payable to
NCDEQ. Mailing address is below. Payment needed for continued coverage under the NCG01 permit.
7701135444 CMC Jumada 41117 M5 M[1219 LlnknaMn ChKKIng .4CSAun1 ACCOUNT 24191I575B39EU$ D.0. 41211.U6} IMU312024
IMWO INVALID
.Ra? NCC2380] 1-2024,HCC233611,HDI[ Campus 31 Flynnwwil wil Maln,CMC Jumada HDAngs LLC,y.120.00

DEMLR Stormwater Program
512 N. Salisbury Street, 640K
1612 Mail Service Center
Raleigh, NC 27699-1612
Thanks,
Tevye (Tev) Holloman (he, him)
Administrative Billing Specialist
DEMLR Stormwater Program
Office: [phone]
Tev.HollomanCcbdeq.nc.gov
North Carolina Department of Environmental Quality
Division of Energy, Mineral, and Land Resources Stormwater Program
512 N. Salisbury Street, Raleigh, NC 27604 (location)
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing)
Website: http://deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
D, E
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From: [e-mail] <[e-mail]>
Sent: Friday, October 4, 2024 11:02 AM
To: [e-mail]
Cc: Holloman, Tevye L <[e-mail]>; Georgoulias, Bethany<[e-mail]>;
[e-mail]
Subject: [External] Construction SW General Permit Annual Fee Received - NCC233011
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Dear Construction General Permit Permittee:
Certificate of Coverage (COC) no. NCC233011 has been successfully renewed by payment of the 2024
annual fee, as long as all other annual fees have been paid. If no fees are owed, this project remains
actively covered under North Carolina's NPDES General Stormwater Permit for Construction Activities.
(Note, if this COC was recently terminated, the payment was successfully applied to invoice period.)
This COC is for Holt Campus at Flynnwood and Main in Forsyth County, issued to CMC Jomada
Holdings, LLC. The payment was applied to Invoice no. NCC233011-2024.
If you have any questions, please contact the Stormwater Program at [phone], or visit
https://deq.nc.gov/NCGO1.

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The NC DEMLR Stormwater Program
512 N. Salisbury Street, Archdale Building 6th Floor (640K), 1612 Mail Service Center, Raleigh,
NC 27699-1612
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responses are not monitored.