NCC212051_NOI 49510 Payment Verification_20210407

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/1/2021 1:41:05 PM (NCG01 NOI Submission)
Approve by Clark, Paul 4/5/2021 9:46:13 AM (Review- Construction NOI 49510)
• The task was assigned to Clark, Paul by round robin distribution 4/1/2021 1:42 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 5, 2021 5:00 PM.
The priority is: High 4/1/2021 1:42 PM
Submit by McCoy, Suzanne 4/7/2021 2:14:04 PM (Payment Verification for NCC212051)
* New Dixie Oil Corp
• McCoy, Suzanne assigned the task to McCoy, Suzanne 4/7/2021 2:13 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 17, 2021 5:00 PM. The
priority is: High 4/5/2021 9:46 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
New Dixie Mart - Dortches, NC
Lot Numbers
(IF listed on the eNOI)
n/a
NC Reference No.*
NCG01-2021-2051
Certificate of
NCC212051
Coverage (COC)
No.*
Invoice Date
4/5/2021
Initial Invoice No.
NCC212051-2021
Initial Fee
$ 100.00
Invoice Due Date
5/5/2021
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* IT Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
4/7/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
IT check
f Other
Check Number*
195812
NOI Tracking No.
49510
Tracking ID referenced upon subrrittal
This is an Express
f No
Review Project
IT Yes
Project Tracking ID
NCC-NASI-I-2021-New Di)ae Mart - Dortches, NC