NCS000181_Returned Invoice_20190109

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: 2019PR000293 p
1' 1 /Annual Fee Period: 2018-08-01 lu 2019-07-31
Permit Number: NCS000181 a�W(,L)�la KelinvoiceDate: 01/03/2019
Yadkin County
Holcomb Creosote Company Due Date: 02/02`2019
Dale Holcomb
Holcomb Creosote Company
5016 Hwy 601 N
Yadkinville, NC 27055
Notes:
Annual Fee: $860.00
NOT W-5�Iul_qA'3i_E A5. Ar; DFE.SSED
1. You may pay either by mail with check/mon B i - A 5 ; �
2. If payment is by check/money order, please r HIM" 11 � 1 I 1""'"1 ` { i 1 #
NCDEQ - Division of Energy, Mineral ak.0
Attn: Stormwater Billing
512 N. Salisbury Street
1612 Mail Service Center
Raleigh, NC 27699-1612
3. If payment is electronic, please see https://deg.nc.gov/epayments/stormwaterto pay electronically. Payments by eCheck will
debit your checking account. Credit card transactions will incur a convenience fee.
4. Please include your Permit Number and Invoice Number on all correspondence.
5. A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512.
6. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
7. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee
Coordinator at 919-707-9220.
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Invoice Number: 2019PR000293
Permit Number: NCS000181
Yadkin County
Holcomb Creosote Company
Dale Holcomb
Holcomb Creosote Company
5016 Hwy 601 N
Yadkinville, NC 27055
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Annual Fee Period: 2018-08-01 to 2019-07-31
Invoice Date: 1/3/2019
Due Date: 2/2/2019
Annual Fee: $860.00
Check Number: