NCC213684_NOI 56713 Payment Verification_20210621

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/17/2021 12:07:45 PM (NCGO1 NOI Submission)
App— by Broussard, Brooklyn C 6/18/2021 7:17:24 AM (Review - Construction NOI 56713)
* The task was assigned to Broussard, Brooklyn C by round robin distribution 6/17/2021 12:08 PM
The task was assigned to DEMLR NCGO1 NOI Review Team. The due date is: June 21, 2021 5:00 PM
6/17/2021 12:08 PM
Submit by Selkane, Aziza 6/21/2021 8:50:38 AM (Payment Verification for NCC2113684)
p Patrick IN Sizemore
* Selkane, Aziza assigned the task to Selkane, Aziza 6/21/2021 8:49 AM
The task was assigned to DEMLR NCGOII Payment Team. The due date is: July 30, 2021 5:00 PM
6/18/2021 7:17 AM

NORTH CAROLINA
Enyirmm�tal Quallty
Project Name B-5765 WO# 31367824 Gumtree DEP Distribution Relocation
Lot Numbers (If listed on the eNOI)
NCReferenceNo.* NCGOl-2021-3684
Certificate of NCC213684
Coverage (COC)
No. *
Invoice Date 6/18/2021
Initial Invoice No. NCC213684-2021
Initial Fee $ 100.00
Invoice Due Date 7/18/2021
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.
r Payment NOT RECEIVED.
Payment Status PAID
Date Payment 6/21/2021
Received* (Or, if not received, date rejected for no payn-ent)
Method of Payment* r electronic
r check
r Other
ePayment 578123605
Transaction
Number*
NOI Tracking No. 56713
Tracking ID referenced upon subrrtal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-DAVID-2021-B-5765 WO# 31367824 Gumtree DEP Distribution Relocation