NCG080397_Returned Invoice_20190815

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- 2019PR007077 / Annual Fee Period: 2019-09-01 to 2020-08-31
Perrrilt Number: NCGOII0397 Cq
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: 08/08/2019
Lenoir County Fa6 Y
Coastal Wholesale Incorporated : 09/0712019
Coastal Wholesale Inc Annual Fee: $100.00
PO Box 1375 Kinston, NC 28503 ' XI c 276 C E '
RETURN TO SE14 lE3
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Payment Options: x
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1. Electronic payment is convenient and qui
browser. If you select eCheck, there will bEajrrlr°�tll��j�r�rrljjrjj�;lrrj�rj�rrjr(r#=t
convenience fee for a debit card is $3.95. You will receive a receipt immediately after payment via email.
2. To pay by mail, please make your check payable to "DEMLR Stormwater Program" and include the invoice number on the check.
Then, detach the invoice below and write the check number on the invoice. A $25.00 processing fee will be charged
for returned checks in accordance with N.C. General Statute 25-3-512.
Remit payments by mail to:
NCDEQ - Division of Energy, Mineral and Land Resources
Attn: Stormwater Billing
512 N. Salisbury Street
1612 Mail Service Center
Raleigh, NC 27699-1612
3. Non-payment of this fee by the payment due date will initiate the permit revocation process.
4. Please include your permit number in all correspondence.
5. Should you have any questions, please contact the Fee Coordinator at [phone].
(Return This Portion With Check)
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ANNUAL PERMIT INVOICE
Open
Invoice Number:
2019PR007077
Annual Fee Period: 2019-09-01 to 2020-08-31
Permit Number:
NCG080397
Invoice Date: 8/8/2019
Lenoir County
Coastal Wholesale Incorporated
Due Date: 9/7/2019
Annual Fee: $100.00
Coastal Wholesale Inc
PO Box 1375
Kinston, NC 28503
Check Number: