NCC211720_NOI 48080 Payment Verification_20210413

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 3/18/2021 9:48:13 AM (NCG01 NOI Submission)
Approve by Clark, Paul 3/22/2021 7:30:25 AM (Review- Construction NOI 48080)
• The task was assigned to Clark, Paul by round robin distribution 3/18/2021 9:48 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 22, 2021 5:00
PM 3/18/2021 9:48 AM
Submit by Selkane, Aziza 4/13/2021 8:37:23 AM (Payment Verification for NCC211720)
* Christopher Cagle
• Selkane, Aziza assigned the task to Selkane, Aziza 4/13/2021 8:36 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 3, 2021 5:00 PM
3/22/2021 7:31 AM

NORTH CAROLINA
Environmental Quvllty
Project Name Dollar General Roxboro (Intersection of Long Store Rd & Semora Rd)
Lot Numbers (If listed on the eN0l)
NA
NC Reference No.* NCG25-2021-1720
Certificate of NCC211720
Coverage (COC)
No.*
Invoice Date 3/22/2021
Initial Invoice No. NCC211720-2021
Initial Fee $ 100.00
Invoice Due Date 4/21/2021
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 4/13/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
f check
f Other
ePayment 567466300
Transaction
Number*
NOI Tracking No. 48080
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-PERSO-2021-Dollar General Roxboro (Intersection of Long Store Rd &
Semora Rd)