NCC215456_NOI 66859 Payment Verification_20211005

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/29/2021 10:50:07 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/29/2021 11:19:03 AM (Review- Construction NOI 66859)
. The task was assigned to Broussard, Brooklyn C by round robin distribution 9/29/2021 10:50 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 1, 2021 5:00
PM 9/29/2021 10:50 AM
Submit by Evans, Shaundra M 10/5/2021 1:57:25 PM (Payment Verification for NCC215456)
* JS Helms Family Properties LLC
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/5/2021 1:56 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 10, 2021 5:00
PM 9/29/2021 11:19 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Helms Property Stockpile Plan
Lot Numbers
(IF listed on the eNOI)
N/A
NC Reference No.*
NCG01-2021-5456
Certificate of
NCC215456
Coverage (COC)
No.*
Invoice Date
9/29/2021
Initial Invoice No.
NCC215456-2021
Initial Fee
$ 100.00
Invoice Due Date
10/29/2021
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
10/5/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
IT check
f Other
Check Number*
1291
NOI Tracking No.
66859
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-MECKL-2021-Helms Property Stockpile Plan