NCC216219_NOI 72543 Payment Verification_20211108

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/5/2021 10:28:56 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/5/2021 10:38:22 AM (Review - Construction NOI 72543)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/5/2021 10:29 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 9, 2021 5:00
PM 11/5/2021 10:29 AM
Submit by Evans, Shaundra M 11/8/2021 8:12:59 AM (Payment Verification for NCC216219)
P Benjamin Taylor
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/8/2021 8:12 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 17, 2021 5:00
PM 11/5/2021 10:38 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Cannon Run
Lot Numbers
(If listed on the eNOI)
1-210
NC Reference No.*
NCG01-2021-6219
Certificate of
NCC216219
Coverage (COC) No.*
Invoice Date
11/5/2021
Initial Invoice No.
NCC216219-2021
Initial Fee
$ 100.00
Invoice Due Date
12/5/2021
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
11/8/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
601369764
Transaction Number*
NOI Tracking No.
72543
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CABAR-2021-Cannon Run