NCC216850_NOI 75321 Payment Verification_20211210

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/9/2021 9:45:25 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/9/2021 9:49:14 AM (Review - Construction NOI 75321)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/9/2021 9:45 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 13, 2021 5:00
PM 12/9/2021 9:45 AM
Submit by Evans, Shaundra M 12/10/2021 7:54:20 AM (Payment Verification for NCC216850)
* Jenn Buckwalter
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/10/2021 7:53 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 20, 2022 5:00 PM
12/9/2021 9:49 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Seaside Bay Subdivision Lots
Lot Numbers (If listed on the eNOI)
3A,4A,6A, 11, 1 2,22,31,35-43,46-49,64,68A,69A,71 A,94-
96, 97A, 98R, 99,100,104,105,111,119,120,124,127,131,132,137,139,144,145
NC Reference No.* NCG01-2021-6850
Certificate of
NCC216850
Coverage (COC) No.*
Invoice Date
12/9/2021
Initial Invoice No.
NCC216850-2021
Initial Fee
$ 100.00
Invoice Due Date
1/8/2022
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 12/10/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 607080104
Transaction Number*
NOI Tracking No. 75321
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-BRUNS-2021-Seaside Bay Subdivision Lots