NCG080784_Returned Invoice_20190128

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
INVOICE
Annual Permit Fee
III IIIII IIIRII UI IV IIIIII IA IIIIII
Open
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: 2019PR000219 �5a_7ql_o
156 Annual Fee Period: 2019-02-01 to 2020-01-31
Permit Number: NCGO80784 fnva' ate: 01/03/2019
Washington County i 0 O�Y (1 ,{�j
Republic Services of NC, LLC-GDS1 Plymouth ue Date: 02/0212019
Candy Sanders Annual Fee: $100.00
Republic Services of North Carolina LLC
PO Box1527 x. 76, =E 0V-10 71za`?1E'
Washington, NC 27889-1527 R E i to F, N TO SEND ~ R I
W,r nEr r dRA_ 'S AOORESSE C 1
Notes:
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1. You may pay either by mail withcheck/m :;,;3tt't'Is;= 4t`t"i631'tti't'tlt"Itti'�tt'ttt't`tt't"It"t°' t
2. If payment is by check/money order, pleas
NCDEQ - Division of Energy, Mineral and Land Resources
Attn: Stormwater Billing
512 N. Salisbury Street
1612 Mail Service Center
Raleigh, NC 27699-1612
3. If payment is electronic, please see https://deg.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
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ANNUAL PERMIT INVOICE
Invoice Number: 2019PR000219
Permit Number: NCG080784
Washington County
Republic Services of NC, LLC-GDS-Plymouth
Candy Sanders
Republic Services of North Carolina LLC
PO Box 1527
Washington, NC 27889-1527
Open
Annual Fee Period:
2019-02-01 to 2020-01-31
Invoice Date:
1/3/2019
Due Date:
2/2/2019
Annual Fee:
$100.00
Check Number: