NCC215298_NOI 65252 Payment Verification_20211005

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/20/2021 1:00:33 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/24/2021 11:42:26 AM (Review- Construction NOI 65252)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/20/2021 1:01 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 22, 2021 5:00
PM. The priority is: High 9/20/2021 1:01 PM
Submit by Evans, Shaundra M 10/5/2021 10:29:27 AM (Payment Verification for NCC215298)
* Store Dev
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/5/2021 10:28 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 5, 2021 5:00 PM.
The priority is: High 9/24/2021 11:42 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
AutoZone Burnsville NC1204
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-5298
Certificate of
NCC215298
Coverage (COC)
No.*
Invoice Date
9/24/2021
Initial Invoice No.
NCC215298-2021
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.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
10/5/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
596035374
Transaction
Number*
NOI Tracking No.
65252
Tracking ID referenced upon subrrittal
This is an Express
f No
Review Project
r Yes
Project Tracking ID
NCC-YANCE-2021-AutoZone Burnsville NC1204