NCC214551_NOI 61747 Payment Verification_20210817

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/9/2021 4:02:41 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/10/2021 8:00:28 AM (Review- Construction NOI 61747)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/9/2021 4:04 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 11, 2021 5:00
PM 8/9/2021 4:04 PM
Submit by Selkane, Aziza 8/17/2021 1:39:54 PM (Payment Verification for NCC214551)
* Eastfield Associates, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 8/17/2021 1:38 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 21, 2021 5:00
PM 8/10/2021 8:00 AM

NORTH CAROLINA
Environmental Quvllty
Project Name Providence Boulevard Road Improvements
Lot Numbers (IF listed on the eNOI)
lots 1, 1Aand 2
NC Reference No.* NCG01-2021-4551
Certificate of NCC214551
Coverage (COC)
No.*
Invoice Date 8/10/2021
Initial Invoice No. NCC214551-2021
Initial Fee $ 100.00
Invoice Due Date 9/9/2021
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 8/17/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 10606
NOI Tracking No. 61747
Traclang ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-JOHNS-2021-Providence Boulevard Road Improvements