NCC216807_NOI 75165 Payment Verification_20211208

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/7/2021 1:30:28 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/8/2021 9:22:43 AM (Review - Construction NOI 75165)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/7/2021 1:30 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 9, 2021 5:00
PM 12/7/2021 1:30 PM
Submit by Selkane, Aziza 12/8/2021 2:57:26 PM (Payment Verification for NCC216807)
F SL China Grove, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 12/8/2021 2:56 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 19, 2022 5:00 PM
12/8/2021 9:22 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Hwy 152 Mass Grading
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-6807
Certificate of
NCC216807
Coverage (COC) No.*
Invoice Date
12/8/2021
Initial Invoice No.
NCC216807-2021
Initial Fee
$ 100.00
Invoice Due Date
1/7/2022
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
12/8/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
17
NOI Tracking No.
75165
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-ROWAN-2021-Hwy 152 Mass Grading