NCC215313_NOI 65305 Payment Verification_20210928

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/20/2021 5:54:29 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/24/2021 12:53:22 PM (Review- Construction NOI 65305)
. The task was assigned to Broussard, Brooklyn C by round robin distribution 9/20/2021 5:55 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 22, 2021 5:00
PM 9/20/2021 5:55 PM
Submit by Evans, Shaundra M 9/28/2021 10:25:37 AM (Payment Verification for NCC215313)
* Sheila Hathaway
• Evans, Shaundra M assigned the task to Evans, Shaundra M 9/28/2021 10:24 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 5, 2021 5:00
PM 9/24/2021 12:53 PM

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•
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• yrnent Verification
NORTH CAROLINA
Envtro me tufQuuftty
Project Name
Starbucks - Peters Creek
Lot Numbers
(If listed on the eNOI)
6842-71-9387.00
NC Reference No.*
NCG01-2021-5313
Certificate of
NCC215313
Coverage (COC)
No.*
Invoice Date
9/24/2021
Initial Invoice No.
NCC215313-2021
Initial Fee
$ 100.00
Invoice Due Date
10/24/2021
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.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payme nt
9/28/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r Other
ePayment
594888185
Transaction
Number*
NOI Tracking No.
65305
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2021-Starbucks - Peters Creek