NCG160158_Rtn Inv_20190912

-NORTH CAROLINA DEPARTMENT O
© ENVIRONMENTAL QUALITY
SEP 0 9 2019
C)ENdR-LAND pQUE1UTY
INVOICE
STORMVVrAT R r ERMs; j l ING 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: 2019PR007155
Permit Number: NCG160158
Forsyth County
APAC Atlantic Inc - North Quarry Plant (42403)
Lori Carter
APAC Atlantic Inc - Thompson -Arthur Div
300 S Benbow Rd
Greensboro, NC 27420
Payment Options:
Annual Fee Period: 2019-08-01 to 2020-07-31
Invoice Date: 08/08/2019
Due Date: 09/0712019
Annual Fee: $100.00
1. Electronic payment is convenient and quick. To pay by ePayment, type "https:/Ideq.nc.gov/epayments/stormwater' into your
browser. If you select eCheck, there will be no convenience fee. The convenience fee for a credit card is $2.65 and the
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 /� f ��
Attn: - Stormwater Billing V vlonqw
512 N. Salisbury Street
1612 Mail Service Center 6jiz A�tT, -cRaleigh, NC 27699-1612 `v
3. Non-payment of thispermit
by the payment due date will initiate the permit revocation process. , v) r
4. Please include our number in all correspondence.j�
5. Should you have any questions, please contact the Fee Coordinator at [phone].
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Invoice Number: 2019PR007155
Permit Number: NCG160158
Forsyth County
APAC Atlantic Inc - North Quarry Plant (42403)
Lori Carter
APAC Atlantic Inc - Thompson -Arthur Div
300 S Benbow Rd
Greensboro, NC 27420
II I I II I I I I II I I II II III II I I I II
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Open
Annual Fee Period: 2019-08-01 to 2020-07-31
Invoice Date: 8/8/2019
Due Date: 9/7/2019
Annual Fee: $100.00
Check Number: