NCC215152_NOI 64631 Payment Verification_20210915

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/11/2021 1:51:35 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/13/2021 8:58:04 AM (Review- Construction NOI 64631)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/11/2021 1:51 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 15, 2021 5:00
PM 9/11/2021 1:51 PM
Submit by Miller, Ariyelle L 9/15/2021 3:02:05 PM (Payment Verification for NCC215152)
* Belmont Industrial LLC
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 9/15/2021 2:59 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 25, 2021 5:00 PM
9/13/2021 8:58 AM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Woodlawn Industrial Park
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-5152
Certificate of
NCC215152
Coverage (COC)
No.*
Invoice Date
9/13/2021
Initial Invoice No.
NCC215152-2021
Initial Fee
$ 100.00
Invoice Due Date
10/13/2021
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
9/15/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
f Other
Check Number*
1098
NOI Tracking No.
64631
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-GASTO-2021 -Wood lawn Industrial Park