NCC215332_NOI 66509 Payment Verification_20210928

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/27/2021 8:06:04 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/27/2021 8:17:33 AM (Review- Construction NOI 66509)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/27/2021 8:06 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 29, 2021 5:00
PM. The priority is: High 9/27/2021 8:06 AM
Submit by Evans, Shaundra M 9/28/2021 9:37:54 AM (Payment Verification for NCC215332)
* Jeanna Benoy
• Evans, Shaundra M assigned the task to Evans, Shaundra M 9/28/2021 9:36 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 8, 2021 5:00 PM.
The priority is: High 9/27/2021 8:17 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Leesville Safe Routes to School
Lot Numbers
(If listed on the eNU)
1, 3, 3A, 4, 5, 7, 11
NC Reference No.*
NCG01-2021-5332
Certificate of
NCC215332
Coverage (COC)
No.*
Invoice Date
9/27/2021
Initial Invoice No.
NCC215332-2021
Initial Fee
$ 100.00
Invoice Due Date
10/27/2021
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
9/28/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
594831404
Transaction
Number*
NOI Tracking No.
66509
Tracking ID referenced upon subrrittal
This is an Express
f No
Review Project
r Yes
Project Tracking ID
NCC-WAKE-2021-Leesville Safe Routes to School