NCC215176_NOI 64732 Payment Verification_20210914

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/13/2021 5:08:53 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/14/2021 7:05:55 AM (Review- Construction NOI 64732)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/13/2021 5:09 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 15, 2021 5:00
PM 9/13/2021 5:09 PM
Submit by Miller, Ariyelle L 9/14/2021 12:58:02 PM (Payment Verification for NCC215176)
* Stuart Parks
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 9/14/2021 12:57 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 26, 2021 5:00 PM
9/14/2021 7:06 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Juniper Glen - Lots 1, 2, 3, 6, 10 and 11
Lot Numbers
(IF listed on the eNU)
1, 2, 3, 6, 10 and 11
NC Reference No.*
NCG01-2021-5176
Certificate of
NCC215176
Coverage (COC)
No.*
Invoice Date
9/14/2021
Initial Invoice No.
NCC215176-2021
Initial Fee
$ 100.00
Invoice Due Date
10/14/2021
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
9/14/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
592735911
Transaction
Number*
NOI Tracking No.
64732
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2021-Juniper Glen - Lots 1, 2, 3, 6, 10 and 11