NCC214973_NOI 63813 Payment Verification_20210907

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/31/2021 12:17:08 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/1/2021 10:09:05 AM (Review- Construction NOI 63813)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/31/2021 12:17 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 2, 2021 5:00
PM 8/31/2021 12:17 PM
Submit by Selkane, Aziza 9/7/2021 2:59:49 PM (Payment Verification for NCC214973)
* Vanguard Ventures
• Selkane, Aziza assigned the task to Selkane, Aziza 9/7/2021 2:59 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 13, 2021 5:00 PM
9/1/2021 10:09 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Dollar General
Lot Numbers
(If listed on the eNU)
3721-76-4195
NC Reference No.*
NCG01-2021-4973
Certificate of
NCC214973
Coverage (COC)
No.*
Invoice Date
9/1/2021
Initial Invoice No.
NCC214973-2021
Initial Fee
$ 100.00
Invoice Due Date
10/1/2021
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
9/7/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
f Other
Check Number*
8645
NOI Tracking No.
63813
TracWng ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-WILSO-2021-Dollar General