NCC215861_NOI 69149 Payment Verification_20211021

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/19/2021 4:58:35 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/20/2021 7:42:19 AM (Review - Construction NOI 69149)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/19/2021 4:59 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 21, 2021 5:00
PM 10/19/2021 4:59 PM
Submit by Selkane, Aziza 10/21/2021 10:07:11 AM (Payment Verification for NCC215861)
F Brandon Edwards
• Selkane, Aziza assigned the task to Selkane, Aziza 10/21/2021 10:06 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 1, 2021 5:00 PM
10/20/2021 7:42 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Thrive Athletics
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-5861
Certificate of NCC215861
Coverage (COC) No.*
Invoice Date 10/20/2021
Initial Invoice No. NCC215861-2021
Initial Fee $ 100.00
Invoice Due Date 11/19/2021
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 10/21/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 598670472
Transaction Number*
NOI Tracking No. 69149
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2021-Thrive Athletics