NCC213776_NOI 57028 Payment Verification_20210624

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/22/2021 10:25:30 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/23/2021 8:44:15 AM (Review- Construction NOI 57028)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/22/2021 10:26 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 24, 2021 5:00 PM
6/22/2021 10:26 PM
Submit by Selkane, Aziza 6/24/2021 8:58:08 AM (Payment Verification for NCC213776)
* Jarrett M Senkbeil
• Selkane, Aziza assigned the task to Selkane, Aziza 6/24/2021 8:57 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 4, 2021 5:00 PM
6/23/2021 8:44 AM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
KR Carwashes LLC
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-3776
Certificate of
NCC213776
Coverage (COC)
No.*
Invoice Date
6/23/2021
Initial Invoice No.
NCC213776-2021
Initial Fee
$ 100.00
Invoice Due Date
7/23/2021
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
6/24/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
57884440
Transaction
Number*
NOI Tracking No.
57028
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-FRANK-2020-KR Carwashes LLC