NCC214589_NOI 61884 Payment Verification_20210812

Action History (UTC-05:00)Eastern Time(US&Canada)
Subrrit by Anonymous User 8/11/2021 8:44:36 AM(NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/11/2021 8:57:30 AM(Review-Construction NOI 61884)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/11/2021 8:45 AM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 13,2021 5:00
PM 8/11/2021 8:45 AM
Submit by Selkane,Aziza 8/12/2021 9:25:36 AM(Payment Verification for NCC214589)
* Turner L Votipka
• Selkane,Aziza assigned the task to Selkane,Aziza 8/12/2021 9:24 AM
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: September 22,2021 5:00
PM 8/11/2021 8:57 AM

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Payrmnt Verification
NORTH CAROLINA
Environmental Quvllly
Project Name Factory 633
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-4589
Certificate of NCC214589
Coverage (COC)
No.*
Invoice Date 8/11/2021
Initial Invoice No. NCC214589-2021
Initial Fee $ 100.00
Invoice Due Date 9/10/2021
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 8/12/2021
Received* (Or,if not received,date rejected for no payrrent)
Method of Payment* IT electronic
f check
f Other
ePayment 587212258
Transaction
Number*
NOI Tracking No. 61884
TracWng ID referenced upon subrrittal
This is an Express IT No
Review Project r Yes
Project Tracking ID NCC-NASFi-2021-Factory 633