NCC212652_NOI 51234 Payment Verification_20210503

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/28/2021 3:20:33 PM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 4/30/2021 10:14:49 AM (Review- Construction NOI 51234)
• The task was assigned to Garcia, Lauren V by round robin distribution 4/28/2021 3:21 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 30, 2021 5:00 PM
4/28/2021 3:21 PM
Submit by Selkane, Aziza 5/3/2021 11:06:59 AM (Payment Verification for NCC212652)
* Richard Baker
• Selkane, Aziza assigned the task to Selkane, Aziza 5/3/2021 11:06 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 11, 2021 5:00 PM
4/30/2021 10:15 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Circle K Garner 2723479
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-2652
Certificate of
NCC212652
Coverage (COC)
No.*
Invoice Date
4/30/2021
Initial Invoice No.
NCC212652-2021
Initial Fee
$ 100.00
Invoice Due Date
5/30/2021
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
5/3/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
570456509
Transaction
Number*
NOI Tracking No.
51234
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-WAKE-2021-Circle K Garner 2723479