NCC215616_NOI 68174 Payment Verification_20211011

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/7/2021 12:20:10 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/8/2021 9:23:04 AM (Review- Construction NOI 68174)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/7/2021 12:20 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 11, 2021 5:00
PM 10/7/2021 12:20 PM
Submit by Selkane, Aziza 10/11/2021 3:35:18 PM (Payment Verification for NCC215616)
* Tammy Colson
• Selkane, Aziza assigned the task to Selkane, Aziza 10/11/2021 3:34 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 19, 2021 5:00
PM 10/8/2021 9:23 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Albemarle Food Bank
Lot Numbers
(IF listed on the eNOI)
Lots 7-10, South Park Phase I
NC Reference No.*
NCG01-2021-5616
Certificate of
NCC215616
Coverage (COC)
No.*
Invoice Date
10/8/2021
Initial Invoice No.
NCC215616-2021
Initial Fee
$ 100.00
Invoice Due Date
11/7/2021
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
10/11/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
IT check
f Other
Check Number*
267930
NOI Tracking No.
68174
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-PASQU-2021-Albemarle Food Bank