NCC215528_NOI 67777 Payment Verification_20211006

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/4/2021 9:20:10 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/5/2021 6:42:30 AM (Review- Construction NOI 67777)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/4/2021 9:20 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 6, 2021 5:00
PM 10/4/2021 9:20 AM
Submit by Evans, Shaundra M 10/6/2021 8:26:55 AM (Payment Verification for NCC215528)
* Marisa Price
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/6/2021 8:26 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 16, 2021 5:00
PM 10/5/2021 6:42 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
AutoZone Murphy
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-5528
Certificate of
NCC215528
Coverage (COC)
No.*
Invoice Date
10/5/2021
Initial Invoice No.
NCC215528-2021
Initial Fee
$ 100.00
Invoice Due Date
11/4/2021
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
10/6/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
596179607
Transaction
Number*
NOI Tracking No.
67777
TracWng ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CHERO-2021-AutoZone Murphy