NCC216803_NOI 75144 Payment Verification_20211213

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/7/2021 12:42:54 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/8/2021 8:51:36 AM (Review - Construction NOI 75144)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/7/2021 12:43 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 9, 2021 5:00
PM 12/7/2021 12:43 PM
Submit by Selkane, Aziza 12/13/2021 11:26:36 AM (Payment Verification for NCC216803)
F Halle Properties, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 12/13/2021 11:25 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 19, 2022 5:00 PM
12/8/2021 8:51 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Discount Tire - 1260 N Main Street, Fuquay Varina, NC
Lot Numbers (If listed on the eNOI)
Lot 4 Berkshire Place
NC Reference No.* NCG01-2021-6803
Certificate of NCC216803
Coverage (COC) No.*
Invoice Date 12/8/2021
Initial Invoice No. NCC216803-2021
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 12/13/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 2000100267
NOI Tracking No. 75144
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-WAKE-2022-Discount Tire - 1260 N Main Street, Fuquay Varina, NC