NCC214920_NOI 63128 Payment Verification_20210830

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/27/2021 8:22:19 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/27/2021 8:36:26 AM (Review- Construction NOI 63128)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/27/2021 8:23 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 31, 2021 5:00
PM 8/27/2021 8:23 AM
Submit by Miller, Ariyelle L 8/30/2021 11:18:24 AM (Payment Verification for NCC214920)
* Dillon Smith
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 8/30/2021 11:16 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 8, 2021 5:00 PM
8/27/2021 8:36 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
SECU - Shelby Branch
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-4920
Certificate of
NCC214920
Coverage (COC)
No.*
Invoice Date
8/27/2021
Initial Invoice No.
NCC214920-2021
Initial Fee
$ 100.00
Invoice Due Date
9/26/2021
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
8/30/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
589925708
Transaction
Number*
NOI Tracking No.
63128
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CLEVE-2021-SECU - Shelby Branch