NCG100055_Request Invoice_20181008

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
INVOICE
Annual Permit Fee
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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. f=ailure 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: 2014PR011278 Annual Fee Period: 2015-01-01 to 2015-12-31
Permit Number: NCG100055
Invoice Date: 12110!2014
Alamance County
DBA Riverside Auto Parts Inc Due Date: 01/09/2015
John Ray Annual Fee: $100.00
John Ray Inc
109 Lake Lathan Rd
Mebane, NC 27302
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You may pay either by mail with checklmoney order OR by electronic payment (eCheck or Credit Card).
If payment is by check/money order, please remit payment to:
NCDEQ - Division of Energy, Mineral and Land Resources RECEIVE
Attn: Stormwater Billing OCT {;
512 N. Salisbury Street 8 2L _
1612 Mail Service Center i3
Raleigh, NC 27699-1612 r�+ r[ ENR-LANiu QUALITY
If payment is electronic, please see http:I/dey.nc.govistormwater-epavments to pay electronically. Payme4lgV,�6N&�&RIPEj rv.,, T,�NG
debit your checking account. Credit card transactions will incur a convenience fee.
Please include your Permit Number and Invoice Number on all correspondence.
A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512.
Nan -Payment of this fee by the payment due date will initiate the permit revocation process.
Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee
Coordinator at 919-707-9220.
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Invoice Number: 2014PROl1278
Permit Number: NCG100055
Alamance County
DBA Riverside Auto Parts Inc
John Rayl
John Ray Inc
909 Lake Lathan Rd II� ` r',Q I/uc/;
Mebane, NC 27302
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Overdue
Annual Fee Period: 2015-01-01 to 2015-12-31
Invoice Date: 12/10/2014
Due Date: 1/9/2015
Annual Fee: $100.00
Check Number: