NCC215109_NOI 64478 Payment Verification_20210913

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/9/2021 11:15:32 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/9/2021 11:21:39 AM (Review- Construction NOI 64478)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/9/2021 11:15 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 13, 2021 5:00
PM 9/9/2021 11:15 AM
Submit by Miller, Ariyelle L 9/13/2021 10:33:06 AM (Payment Verification for NCC215109)
* Christopher A Cagle
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 9/13/2021 10:27 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 21, 2021 5:00 PM
9/9/2021 11:22 AM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Dollar General
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-5109
Certificate of
NCC215109
Coverage (COC)
No.*
Invoice Date
9/9/2021
Initial Invoice No.
NCC215109-2021
Initial Fee
$ 100.00
Invoice Due Date
10/9/2021
Important: If you change
the choice below to Payment NOT RECEIVED, the application will be rejected, and a COC will
not be issued. This is the ONLY way to reject an eNOI at this step.
Payment Received* r Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
9/13/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
592170033
Transaction
Number*
NOI Tracking No.
64478
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-COLUM-2021-Dollar General