NCC213833_NOI 57220 Payment Verification_20210629

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/24/2021 3:02:41 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/25/2021 9:45:08 AM (Review- Construction NOI 57220)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/24/2021 3:03 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 28, 2021 5:00 PM
6/24/2021 3:03 PM
Submit by Selkane, Aziza 6/29/2021 7:20:57 AM (Payment Verification for NCC213833)
* Goodwill Industries Bill Hayrnore
• Selkane, Aziza assigned the task to Selkane, Aziza 6/29/2021 7:19 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 6, 2021 5:00 PM
6/25/2021 9:45 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Goodwill - Faith Rd
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-3833
Certificate of
NCC213833
Coverage (COC)
No.*
Invoice Date
6/25/2021
Initial Invoice No.
NCC213833-2021
Initial Fee
$ 100.00
Invoice Due Date
7/25/2021
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* IT Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
6/29/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
579550846
Transaction
Number*
NOI Tracking No.
57220
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-ROWAN-2021-Goodw411 - Faith Rd