NCC215359_Annual Fee Invoice (2025)_20251002

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JOSH STEIN -1I r,y
Governor
D.REID WILSON W
Secretory
WILLIAM E.TOBY VINSON.JR NORTH CAROLINA
Director Environmental Quality
INVOIC
CERTIFICATE OF COVERAGE: NCC215359
INVOICE#: INV-014332
PROJECT NAME: Plantation Estates
Expansion - PH 2 Early Grading#420903 INVOICE DATE: 10/1/25
DUE DATE: 10/31/25
BILL TO:
ACTS Retirement-Life Communities, Inc.
733 Plantation Estates Dr. Matthews, NC
28105
NAME DESCRIPTION TOTAL
NCG010000/NCG250000 Annual Renewal Fee for NCG01/NCG25 COC 127.0
Annual Fee
TOTAL DUE $127.0
To pay electronically, please navigate here:
Payment should be made prior to submission of a Notice of Termination request.
A $35.00 processing fee will be charged for a returned check, in accordance with North
Carolina General Statute 25-3-512. Contact (919)-707-3649 with any questions.
Remit to:
NCDEQ— DEMLR Stormwater Program
Attn: Stormwater Billing
1612 Mail Service Center
Raleigh, NC 27699-1612
E Q North Carolina Department of ErwlronrnentalQuality Uivi,x a ui Lr cr y/stir cr ul oriu L,m1 ir,uu
512 North Salsbury Street 11612 Matz Service Center I Rakfgh North Carding 276991617
919.707.9200