NCC216080_NOI 72023 Payment Verification_20211104

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/29/2021 2:51:23 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/2/2021 9:36:54 AM (Review - Construction NOI 72023)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/29/2021 2:51 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 2, 2021 5:00
PM 10/29/2021 2:51 PM
Submit by Selkane, Aziza 11/4/2021 4:41:32 PM (Payment Verification for NCC216080)
F Brooks Engineering Associates, PA
• Selkane, Aziza assigned the task to Selkane, Aziza 11/4/2021 4:40 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 14, 2021 5:00
PM 11/2/2021 9:37 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Happ's Place Parking Lot Expansion
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6080
Certificate of NCC216080
Coverage (COC) No.*
Invoice Date 11/2/2021
Initial Invoice No. NCC216080-2021
Initial Fee $ 100.00
Invoice Due Date 12/2/2021
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* Payment Received.
Payment NOT RECEIVED.
Payment Status PAID
Date Payment 11/4/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 4277
NOI Tracking No. 72023
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BURKE-2021-Happ's Place Parking Lot Expansion