NCC215229_NOI 64946 Payment Verification_20210916

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/15/2021 5:41:22 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/16/2021 7:58:46 AM (Review- Construction NOI 64946)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/15/2021 5:41 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 17, 2021 5:00
PM 9/15/2021 5:41 PM
Submit by Miller, Ariyelle L 9/16/2021 1:33:59 PM (Payment Verification for NCC215229)
* Jerry E Dean
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 9/16/2021 1:33 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 28, 2021 5:00 PM
9/16/2021 7:59 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
River Forest Section 3 - Lot 5
Lot Numbers
(If listed on the eN0l)
5
NC Reference No.*
NCG01-2021-5229
Certificate of
NCC215229
Coverage (COC)
No.*
Invoice Date
9/16/2021
Initial Invoice No.
NCC215229-2021
Initial Fee
$ 100.00
Invoice Due Date
10/16/2021
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
9/16/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
593139685
Transaction
Number*
NOI Tracking No.
64946
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CHATFI­2021-River Forest Section 3 - Lot 5