NCC214812_NOI 62693 Payment Verification_20210824

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/23/2021 9:39:23 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/23/2021 9:54:16 AM (Review- Construction NOI 62693)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/23/2021 9:40 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 25, 2021 5:00
PM 8/23/2021 9:40 AM
Submit by Miller, Ariyelle L 8/24/2021 10:09:58 AM (Payment Verification for NCC214812)
* Travis McDonald
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 8/24/2021 10:09 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 4, 2021 5:00 PM
8/23/2021 9:54 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllty
Project Name
Simply Southern
Lot Numbers
(If listed on the eN0l)
498 & 500 Gallimord Dairy Road Lot 2
NC Reference No.*
NCG01-2021-4812
Certificate of
NCC214812
Coverage (COC)
No.*
Invoice Date
8/23/2021
Initial Invoice No.
NCC214812-2021
Initial Fee
$ 100.00
Invoice Due Date
9/22/2021
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
8/24/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
589300605
Transaction
Number*
NOI Tracking No.
62693
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-GUILF-2021-Simply Southern