NCC192102_Annual Fee Payment Record_20210104

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 11/23/2020 4:46:23 PM (Workflow Start Event)
Submit by Selkane, Aziza 1/4/2021 12:07:00 PM (Annual Fee Payment Verification for NCC192102-2020)
* A-1 Sandrock Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 1/4/2021 12:05 PM
The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: January 4, 2021 5:00
PM 11 /23/2020 4:46 PM

NORTH CAROLINA
Environmental Quvllty
Certificate of
NCC192102
Coverage (COC)
This is passed fromtheworldlowwhen the invoice isfiled.
No.*
NC Reference COC
NCG01-2019-2102
No.*
Permit Status:
Active
Project Name*
Erosion and Sediment Control Plan & Grading Plan Phase II for the Front Property
Project Address*
2091 Bishop Road, GREENSBORO, NC
Permittee *
A-1 Sandrock Inc.
County
Guilford
Invoice No.*
NCC192102-2020
This is passed fromthe woMlow when the invoice is filed.
Annual Fee *
$ 100.00
Invoice Date*
11/24/2020
This is passed fromthe woMlow when the invoice is filed.
Invoice Due Date*
12/24/2020
This is passed fromthe worldlow 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.
Days Overdue
11
Wait at least 15 days until proceeding to NOD.
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
1 /4/2021
Received*
Or, if WAN®or NOT FECHV®, this is the date that status is recorded.
Method of Payment* r electronic
f check
f other
ePayment 550419017
Transaction
Number*
Fee Status* PAID

Legally Responsible Ronald Petty
Person (Orig.)
Original Permittee E- [e-mail]
mail *
CONFIRM Permittee [e-mail]
E-mail * Opportunity to rrndify probleme-nail 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 * 1/4/2021