NCC215772_NOI 68763 Payment Verification_20211019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/14/2021 12:55:36 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/15/2021 8:50:17 AM (Review - Construction NOI 68763)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/14/2021 12:55 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 18, 2021 5:00
PM 10/14/2021 12:55 PM
Submit by Evans, Shaundra M 10/19/2021 9:14:46 AM (Payment Verification for NCC215772)
F Thomas Gavin Melia
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/19/2021 9:14 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 26, 2021 5:00
PM 10/15/2021 8:50 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Tractor Supply Company - Kinston
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-5772
Certificate of NCC215772
Coverage (COC) No.*
Invoice Date 10/15/2021
Initial Invoice No. NCC215772-2021
Initial Fee $ 100.00
Invoice Due Date 11/14/2021
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* Payment Received.
Payment NOT RECEIVED.
Payment Status PAID
Date Payment 10/19/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 598317576
Transaction Number*
NOI Tracking No. 68763
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-LENOI-2021-Tractor Supply Company - Kinston