NCC204403_NOI 32329 Payment Verification_20201006

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/30/2020 3:46:06 PM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 10/1/2020 3:20:15 PM (Review- Construction NOI 32329)
• The task was assigned to Garcia, Lauren V by round robin distribution 9/30/2020 3:46 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 2, 2020 5:00
PM 9/30/2020 3:46 PM
Submit by Selkane, Aziza 10/6/2020 1:07:32 PM (Payment Verification for NCC204403)
* Glandon Forest Equity, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 10/6/2020 1:06 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 12, 2020 5:00
PM 10/l/2020 3:20 PM

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•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Dollar General - Broad Creek
NC Reference No.*
NCG01-2020-4403
Certificate of
NCC204403
Coverage (COC)
No. *
Invoice Date
10/1/2020
Initial Invoice No.
NCC204403-2020
Initial Fee
$ 100.00
Invoice Due Date
10/31/2020
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 eNO1 at this step.
Payment Received* r Payment Received.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payme nt
10/6/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
Check Number*
15689
NOI Tracking No.
32329
TracWng ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CRAVE-2020-Dollar General - Broad Creek