NCC213176_NOI 53591 Payment Verification_20210527

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 5/25/2021 5:38:42 PM (NCG01 NOI Submission)
Approve by EADS\bcbroussard 5/26/2021 8:22:47 AM (Review- Construction NOI 53591)
. The task was assigned to EADS\bcbroussard by round robin distribution 5/25/2021 5:39 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 27, 2021 5:00 PM
5/25/2021 5:39 PM
Submit by Selkane, Aziza 5/27/2021 8:07:07 AM (Payment Verification for NCC213176)
* Daniel R Cissell Jr
• Selkane, Aziza assigned the task to Selkane, Aziza 5/27/2021 8:06 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 7, 2021 5:00 PM
5/26/2021 8:23 AM

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•
V.
• yrnent Verification
NORTH CAROLINA
Envtro me tufQuuftty
Project Name
AFS NC
Lot Numbers
(If listed on the eN01)
Lot 8
NC Reference No.*
NCG01-2021-3176
Certificate of
NCC213176
Coverage (COC)
No.*
Invoice Date
5/26/2021
Initial Invoice No.
NCC213176-2021
Initial Fee
$ 100.00
Invoice Due Date
6/25/2021
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* r Payment Received.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payme nt
5/27/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r Other
ePayment
574650628
Transaction
Number*
NOI Tracking No.
53591
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CATAW-2021-AFS NC