NCC215360_NOI 66566 Payment Verification_20210929

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/27/2021 11:31:06 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/28/2021 6:50:07 AM (Review- Construction NOI 66566)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/27/2021 11:31 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 29, 2021 5:00
PM 9/27/2021 11:31 AM
Submit by Evans, Shaundra M 9/29/2021 8:29:29 AM (Payment Verification for NCC215360)
* Robert A Team
• Evans, Shaundra M assigned the task to Evans, Shaundra M 9/29/2021 8:28 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 9, 2021 5:00
PM 9/28/2021 6:50 AM

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NORTH CAROLINA
Environmental Quvllty
Project Name Front Street - Wallburg, LLC Wallburg Road - Pump Station
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-5360
Certificate of NCC215360
Coverage (COC)
No.*
Invoice Date 9/28/2021
Initial Invoice No. NCC215360-2021
Initial Fee $ 100.00
Invoice Due Date 10/28/2021
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 9/29/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
f check
f Other
ePayment 595030838
Transaction
Number*
NOI Tracking No. 66566
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-FORSY-2021-Front Street - Wallburg, LLC Wallburg Road - Pump Station