NCC222044_NOI 93083 Payment Verification_20220601

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/31/2022 9:41:40 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 5/31/2022 9:46:02 AM (Review - NOI 93083 Dollar General - Mount Airy)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 5/31/2022 9:41 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 3, 2022 5:00 PM
5/31/2022 9:41 AM
by Workflow 5/31/2022 9:46:11 AM (Workflow Start Event)
Submit by Selkane, Aziza 6/1/2022 1:18:41 PM (Payment Verification for NCC222044)
F Teramore Development
• Selkane, Aziza assigned the task to Selkane, Aziza 6/1/2022 1:18 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 12, 2022 5:00 PM
5/31/2022 9:46 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Dollar General - Mount Airy
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2044
Certificate of NCC222044
Coverage (COC) No.*
Invoice Date 5/31/2022
Initial Invoice No. NCC222044-2022
Initial Fee $ 100.00
Invoice Due Date 6/30/2022
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 6/1/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 636055824
Transaction Number*
NOI Tracking No. 93083
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-SURRY-2022-Dollar General - Mount Airy