NCC214156_NOI 59141 Payment Verification_20210716

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/15/2021 10:39:38 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/15/2021 10:48:04 AM (Review- Construction NOI 59141)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/15/2021 10:40 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 19, 2021 5:00 PM
7/15/2021 10:40 AM
Submit by McCoy, Suzanne 7/16/2021 7:51:15 AM (Payment Verification for NCC214156)
* lorraine Rivera
• McCoy, Suzanne assigned the task to McCoy, Suzanne 7/16/2021 7:50 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 26, 2021 5:00 PM
7/15/2021 10:48 AM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Forest Grove Lots 2-9, 13-16, 29, 30, 33-37
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-4156
Certificate of
NCC214156
Coverage (COC)
No.*
Invoice Date
7/15/2021
Initial Invoice No.
NCC214156-2021
Initial Fee
$ 100.00
Invoice Due Date
8/14/2021
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 eNO1 at this step.
Payment Received* IT Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
7/16/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
582236957
Transaction
Number*
NOI Tracking No.
59141
TracWng ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-FRANK-2021-Forest Grove Lots 2-9, 13-16, 29, 30, 33-37