NCC213564_NOI 55302 Payment Verification_20210611

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/10/2021 11:56:27 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/10/2021 12:13:18 PM (Review- Construction NOI 55302)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/10/2021 11:58 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 14, 2021 5:00 PM.
The priority is: High 6/10/2021 11:58 AM
Submit by McCoy, Suzanne 6/11/2021 7:37:59 AM (Payment Verification for NCC213564)
* Michael Meyer
• McCoy, Suzanne assigned the task to McCoy, Suzanne 6/11/2021 7:37 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 22, 2021 5:00 PM. The
priority is: High 6/10/2021 12:14 PM

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NORTH CAROLINA
Environmental Quvllty
Project Name Store #6091-506 Henderson, NC Wal-Mart Distribution Center
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-3564
Certificate of NCC213564
Coverage (COC)
No.*
Invoice Date 6/10/2021
Initial Invoice No. NCC213564-2021
Initial Fee $ 100.00
Invoice Due Date 7/10/2021
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.
f Payment NOT RECEIVED.
Payment Status PAID
Date Payment 6/11 /2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
f check
f Other
ePayment 57691610
Transaction
Number*
NOI Tracking No. 55302
Tracking ID referenced upon subrrittal
This is an Express f No
Review Project r Yes
Project Tracking ID NCC-VANCE-2021-Store #6091-506 Henderson, NC Wal-Mart Distribution Center