NCC215351_NOI 66551 Payment Verification_20210928

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/27/2021 11:08:40 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/27/2021 11:34:46 AM (Review- Construction NOI 66551)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/27/2021 11:09 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 29, 2021 5:00
PM 9/27/2021 11:09 AM
Submit by Evans, Shaundra M 9/28/2021 10:02:34 AM (Payment Verification for NCC215351)
* Whitney Gifford
• Evans, Shaundra M assigned the task to Evans, Shaundra M 9/28/2021 10:01 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 8, 2021 5:00
PM 9/27/2021 11:34 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Petree Ridge - Lots 10 & 21-24
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-5351
Certificate of
NCC215351
Coverage (COC)
No.*
Invoice Date
9/27/2021
Initial Invoice No.
NCC215351-2021
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 eNO1 at this step.
Payment Received* IT 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*
IT electronic
f check
f Other
ePayment
594873798
Transaction
Number*
NOI Tracking No.
66551
TracWng ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2021-Petree Ridge - Lots 10 & 21-24