NCC221561_NOI 88642 Payment Verification_20220425

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/20/2022 1:46:54 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/21/2022 5:56:31 AM (Review - NOI 88642 Dollar General - Star - 21121)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/20/2022 1:47 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 25, 2022 5:00 PM.
The priority is: High 4/20/2022 1:47 PM
by Workflow 4/21/2022 5:56:37 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/25/2022 3:09:47 PM (Payment Verification for NCC221561)
F Rhetson Companies
• Selkane, Aziza assigned the task to Selkane, Aziza 4/25/2022 3:09 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 2, 2022 5:00 PM. The
priority is: High 4/21/2022 5:56 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Dollar General - Star - 21121
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2022-1561
Certificate of
NCC221561
Coverage (COC) No.*
Invoice Date
4/21/2022
Initial Invoice No.
NCC221561-2022
Initial Fee
$ 100.00
Invoice Due Date
5/21/2022
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
4/25/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
14330
NOI Tracking No.
88642
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-MONTG-2022-Dollar General - Star - 21121