NCC214865_NOI 62899 Payment Verification_20210827

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/25/2021 8:39:37 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/25/2021 9:08:07 AM (Review- Construction NOI 62899)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/25/2021 8:40 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 27, 2021 5:00
PM 8/25/2021 8:40 AM
Submit by Miller, Ariyelle L 8/27/2021 10:12:38 AM (Payment Verification for NCC214865)
* Thomas Gavin Melia
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 8/27/2021 10:10 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 6, 2021 5:00 PM
8/25/2021 9:08 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Tractor Supply Company
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-4865
Certificate of
NCC214865
Coverage (COC)
No.*
Invoice Date
8/25/2021
Initial Invoice No.
NCC214865-2021
Initial Fee
$ 100.00
Invoice Due Date
9/24/2021
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
8/27/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
589855911
Transaction
Number*
NOI Tracking No.
62899
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CUMBE-2021-Tractor Supply Company