NCC215335_NOI 66513 Payment Verification_20210928

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/27/2021 8:59:47 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/27/2021 9:05:52 AM (Review- Construction NOI 66513)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/27/2021 9:00 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 29, 2021 5:00
PM 9/27/2021 9:00 AM
Submit by Evans, Shaundra M 9/28/2021 9:52:59 AM (Payment Verification for NCC215335)
* David Webb
• Evans, Shaundra M assigned the task to Evans, Shaundra M 9/28/2021 9:52 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 8, 2021 5:00
PM 9/27/2021 9:06 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Lot 1 Tartan Farm
Lot Numbers
(If listed on the eN0l)
1
NC Reference No.*
NCG01-2021-5335
Certificate of
NCC215335
Coverage (COC)
No.*
Invoice Date
9/27/2021
Initial Invoice No.
NCC215335-2021
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
594836341
Transaction
Number*
NOI Tracking No.
66513
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MECKL-2021-Lot 1 Tartan Farm