NCG080864_Permit Fee Invoice_20190107

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
INVOICE
Annual Permit Fee
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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:
Permit Number:
2018PRO11077 l i W) pi tw —r /i/7 n Annual Fee Period: 2019-01-01 to 2019-12-31
Richard B. Moffatt C0 14. ^ 1'
Moffatt Oil Company p7 / 7
610 N James St
Goldsboro, NC 27530
Notes:-
1. You may pay either by mail with check/money order OR
2. If payment is by check/money order, please remit paymen 2 � -�f 6s-
NCDEQ -Division of Energy, Mineral and Land Res
Attn: Stormwater Billing
512 N. Salisbury Street °
1612 Mail Service Center
Raleigh, NC 27699-1612
3. If payment is electronic, please see hops://deq.nc.gov/epayments/stormwater 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. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
7. 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)
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ANNUAL PERMIT INVOICE
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Invoice Number: 2018PR011077
Permit Number: NCG080864
Wayne County
Moffatt Oil Company
Richard B. Moffatt
Moffatt Oil Company
610 N James St
Goldsboro, NC 27530
Annual Fee Period: 2019-01-01 to 2019-12-31
Invoice Date: 12/4/2018
Due Date: 1/3/2019
Annual Fee: $100.00
Check Number: