NCC192196_Annual Fee Payment Record_20201214

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11/23/2020 4:47:01 PM (Workflow Start Event)
Submit by Selkane, Aziza 12/14/2020 10:45:32 AM (Annual Fee Payment Verification for NCC192196-2020)
* Christian L Sheppard
• Selkane, Aziza assigned the task to Selkane, Aziza 12/14/2020 10:44 AM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: January 4, 2021 5:00
PM 11 /23/2020 4:47 PM

SfA7$ q,
NORTH CAROLINA
Envlrmmentuf Quuftty
Certificate of NCC192196
Coverage (COC) This is passed fromthe worKlow when the invoice is filed
No. *
NC Reference COC NCG01-2019-2196
No.*
Permit Status:
Active
Project Name *
Honeycutt Farm Phase 11
Project Address*
1000 Piney Grove Wilbon Road, Town of Holly Springs, NC
Permittee *
AV Homes of Raleigh, LLC
County
Wake
Invoice No.*
NCC192196-2020
This is passed from the worldlow when the invoice is filed.
Annual Fee *
$ 100.00
Invoice Date*
11/24/2020
This is passed from the worldlow when the invoice is filed.
Invoice Due Date *
12/24/2020
This is passed from the woMlow when the invoice is filed.
An automated email reminder is sent to the permittee when the invoice is due. Wait until invoice is 15 days overdue
before proceeding to a Notice of Deficiency.
Important: If you change the choice below to Payment NOT RECEIVED, the fee status becomes PAST DUE, and the
permittee will receive a Notice of Deficiency.
Annual Fee Payment r Fee Payment Received or Not Applicable.
Received* r Fee Payment NOT RECEIVED.
Date Payment 12/14/2020
Received * Or, if WAN® or N0T FECBV®, this is the date that status is recorded.
Method of Payment* r electronic
f check
f other
ePayment 548651276
Transaction
Number*
Fee Status* PAID
Legally Responsible Jeremy Medlin
Person (Orig.)

Original Permittee E- [e-mail]
mail *
CONFIRM Permittee [e-mail]
E-mail * Opportunity to rrodify problem e-mail address or perrrittee contact info
Original Site Contact [e-mail]
E-mail *
CONFIRM Site [e-mail]
Contact E-mail * Opportunity to correct problem e-mail address or site contact info
Additional Billing Contact E-mails
Additional E-mail for
CC:
Review Date * 12/14/2020