NCC213538_NOI 55164 Payment Verification_20210615

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/9/2021 8:11:49 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/9/2021 9:04:32 AM (Review- Construction NOI 55164)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/9/2021 8:12 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 11, 2021 5:00 PM
6/9/2021 8:12 AM
Submit by Selkane, Aziza 6/15/2021 6:35:18 AM (Payment Verification for NCC213538)
* Richard Baker
• Selkane, Aziza assigned the task to Selkane, Aziza 6/15/2021 6:34 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 21, 2021 5:00 PM
6/9/2021 9:04 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Circle K - NTI Airport Blvd Wilmington - NC.115
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-3538
Certificate of
NCC213538
Coverage (COC)
No.*
Invoice Date
6/9/2021
Initial Invoice No.
NCC213538-2021
Initial Fee
$ 100.00
Invoice Due Date
7/9/2021
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
6/15/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
577443530
Transaction
Number*
NOI Tracking No.
55164
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-NEW I-1-2021-Circle K - NTI Airport Blvd Wilmington - NC.115