NCC215073_NOI 64324 Payment Verification_20210909

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/7/2021 7:36:51 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/8/2021 9:02:53 AM (Review- Construction NOI 64324)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/7/2021 7:38 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 9, 2021 5:00
PM. The priority is: High 9/7/2021 7:38 PM
Submit by Miller, Ariyelle L 9/9/2021 12:09:08 PM (Payment Verification for NCC215073)
* Jill Riley
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 9/9/2021 12:07 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 20, 2021 5:00 PM.
The priority is: High 9/8/2021 9:03 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
H&M Bedford Land
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-5073
Certificate of
NCC215073
Coverage (COC)
No.*
Invoice Date
9/8/2021
Initial Invoice No.
NCC215073-2021
Initial Fee
$ 100.00
Invoice Due Date
10/8/2021
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
9/9/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
591828268
Transaction
Number*
NOI Tracking No.
64324
TracWng ID referenced upon subrrittal
This is an Express
f No
Review Project
IT Yes
Project Tracking ID
NCC-HOKE-2021-H&M Bedford Land