NCC217133_NOI 76329 Payment Verification_20211228

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/21/2021 2:13:06 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/22/2021 7:05:25 AM (Review - Construction NOI 76329)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/21/2021 2:13 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 23, 2021 5:00
PM. The priority is: High 12/21/2021 2:13 PM
Submit by Selkane, Aziza 12/28/2021 10:34:54 AM (Payment Verification for NCC217133)
P Nathan Grundmann
• Selkane, Aziza assigned the task to Selkane, Aziza 12/28/2021 10:33 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 2, 2022 5:00 PM.
The priority is: High 12/22/2021 7:05 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Front Lot Expansion - Altec Mt. Airy
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-7133
Certificate of NCC217133
Coverage (COC) No.*
Invoice Date 12/22/2021
Initial Invoice No. NCC217133-2021
Initial Fee $ 100.00
Invoice Due Date 1/21/2022
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 12/28/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 609534598
Transaction Number*
NOI Tracking No. 76329
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-SURRY-2022-Front Lot Expansion - Altec Mt. Airy