NCC214118_NOI 58971 Payment Verification_20210721

Action History (UTC-05:00)Eastern Time(US&Canada)
Subrrit by Anonymous User 7/13/2021 4:01:13 PM(NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/14/2021 7:57:08 AM(Review-Construction NOI 58971)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/13/2021 4:02 PM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 15,2021 5:00 PM
7/13/2021 4:01 PM
Submit by McCoy, Suzanne 7/21/2021 2:51:45 PM(Payment Verification for NCC214118)
* Durban Development
• McCoy,Suzanne assigned the task to McCoy, Suzanne 7/21/2021 2:51 PM
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 25, 2021 5:00 PM
7/14/2021 7:57 AM

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Payrmnt Verification
NORTH CAROLINA
Environmental Quvllly
Project Name Take 5 Express Carwash
Lot Numbers (If listed on the eN0l)
Lot P
NC Reference No.* NCG01-2021-4118
Certificate of NCC214118
Coverage (COC)
No.*
Invoice Date 7/14/2021
Initial Invoice No. NCC214118-2021
Initial Fee $ 100.00
Invoice Due Date 8/13/2021
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 7/21/2021
Received* (Or,if not received,date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 5291
NOI Tracking No. 58971
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-BRUNS-2021-Take 5 Express Carwash