NCC216533_NOI 73548 Payment Verification_20211206

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/18/2021 5:22:20 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/19/2021 7:47:17 AM (Review - Construction NOI 73548)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/18/2021 5:23 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 22, 2021 5:00
PM 11/18/2021 5:23 PM
Submit by Selkane, Aziza 12/6/2021 1:44:49 PM (Payment Verification for NCC216533)
F WithersRavenel Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 12/6/2021 1:44 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 31, 2021 5:00
PM 11/19/2021 7:47 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Town of Belville NC-133 Multi -Use Path
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6533
Certificate of NCC216533
Coverage (COC) No.*
Invoice Date 11/19/2021
Initial Invoice No. NCC216533-2021
Initial Fee $ 100.00
Invoice Due Date 12/19/2021
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 12/6/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 6205
NOI Tracking No. 73548
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BRUNS-2022-Town of Belville NC-133 Multi -Use Path