NCC214199_NOI 59386 Payment Verification_20210721

Action History (UTC-05:00)Eastern Time(US&Canada)
Subrrit by Anonymous User 7/19/2021 2:34:59 PM(NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/20/2021 7:43:00 AM(Review-Construction NOI 59386)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/19/2021 2:37 PM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 21,2021 5:00 PM
7/19/2021 2:37 PM
Submit by McCoy, Suzanne 7/21/2021 8:07:00 AM(Payment Verification for NCC214199)
* Brian Hall
• McCoy,Suzanne assigned the task to McCoy, Suzanne 7/21/2021 8:06 AM
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 31, 2021 5:00 PM
7/20/2021 7:44 AM

SfA7$q,
F Payrnent Verification
V.
NORTH CAROLINA
Envtro me tufQuuftty
Project Name Burlington Medical Park
Lot Numbers (If listed on the eN0l)
Lot 1 and Infrastructure
NC Reference No.* NCG01-2021-4199
Certificate of NCC214199
Coverage (COC)
No.*
Invoice Date 7/20/2021
Initial Invoice No. NCC214199-2021
Initial Fee $ 100.00
Invoice Due Date 8/19/2021
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 7/21/2021
Received* (Or,if not received,date rejected for no payrrent)
Method of Payment* r electronic
r check
r Other
ePayment 583161437
Transaction
Number*
NOI Tracking No. 59386
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-ALAMA-2021-Burlington Medical Park