NCC215535_NOI 67800 Payment Verification_20211007

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/4/2021 10:39:45 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/5/2021 7:09:06 AM (Review- Construction NOI 67800)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/4/2021 10:40 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 6, 2021 5:00
PM. The priority is: High 10/4/2021 10:40 AM
Submit by Selkane, Aziza 10/7/2021 2:40:28 PM (Payment Verification for NCC215535)
* The Broadway Group LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 10/7/2021 2:39 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 16, 2021 5:00
PM. The priority is: High 10/5/2021 7:09 AM

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NORTH CAROLINA
Environmental Quvllty
Project Name Union Mills Retail Store
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-5535
Certificate of NCC215535
Coverage (COC)
No.*
Invoice Date 10/5/2021
Initial Invoice No. NCC215535-2021
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* r Payment Received.
f Payment NOT RECEIVED.
Payment Status PAID
Date Payment 10/7/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 3052
NOI Tracking No. 67800
Tracking ID referenced upon subrrittal
This is an Express f No
Review Project r Yes
Project Tracking ID NCC-RUTHE-2021-Union Mills Retail Store