NCC221083_NOI 84219 Payment Verification_20220331

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/14/2022 5:59:50 PM (NCG01 NOI Submission)
Approve by Clark, Paul B 3/16/2022 3:56:52 PM (Review - NOI 84219 Tractor Supply Company - Shelby)
• The task was assigned to Clark, Paul B by round robin distribution 3/14/2022 6:00 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 17, 2022 5:00 PM
3/14/2022 6:00 PM
by Workflow 3/16/2022 3:57:04 PM (Workflow Start Event)
Submit by Selkane, Aziza 3/31/2022 1:55:00 PM (Payment Verification for NCC221083)
* Keith & Keith LTD - 1031
• Selkane, Aziza assigned the task to Selkane, Aziza 3/31/2022 1:53 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 27, 2022 5:00 PM
3/16/2022 3:57 PM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Tractor Supply Company - Shelby
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1083
Certificate of NCC221083
Coverage (COC) No.*
Invoice Date 3/16/2022
Initial Invoice No. NCC221083-2022
Initial Fee $ 100.00
Invoice Due Date 4/15/2022
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 3/31/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 466
NOI Tracking No. 84219
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CLEVE-2022-Tractor Supply Company - Shelby