NCC212781_NOI 52094 Payment Verification_20210507

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 5/4/2021 2:27:55 PM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 5/6/2021 4:29:31 PM (Review- Construction NOI 52094)
• The task was assigned to Garcia, Lauren V by round robin distribution 5/4/2021 2:28 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 6, 2021 5:00 PM
5/4/2021 2:28 PM
Submit by Selkane, Aziza 5/7/2021 10:47:35 AM (Payment Verification for NCC212781)
* Jake Hellman
• Selkane, Aziza assigned the task to Selkane, Aziza 5/7/2021 10:46 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 17, 2021 5:00 PM
5/6/2021 4:31 PM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Nutrien at Kenly
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-2781
Certificate of
NCC212781
Coverage (COC)
No.*
Invoice Date
5/6/2021
Initial Invoice No.
NCC212781-2021
Initial Fee
$ 100.00
Invoice Due Date
6/5/2021
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
5/7/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
571529561
Transaction
Number*
NOI Tracking No.
52094
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-WILSO-2021-Nutrien at Kenly