NCC215706_NOI 68556 Payment Verification_20211019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/12/2021 1:13:38 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/13/2021 6:10:34 AM (Review - Construction NOI 68556)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/12/2021 1:13 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 14, 2021 5:00
PM. The priority is: High 10/12/2021 1:13 PM
Submit by Selkane, Aziza 10/19/2021 2:40:45 PM (Payment Verification for NCC215706)
F J B S Associates LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 10/19/2021 2:40 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 24, 2021 5:00 PM.
The priority is: High 10/13/2021 6:11 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
150 Backhoe Road 3
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2021-5706
Certificate of
NCC215706
Coverage (COC) No.*
Invoice Date
10/13/2021
Initial Invoice No.
NCC215706-2021
Initial Fee
$ 100.00
Invoice Due Date
11/12/2021
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*
Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
10/19/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
1307
NOI Tracking No.
68556
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-BRUNS-2021-150 Backhoe Road 3