NCC215407_NOI 66714 Payment Verification_20210929

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/28/2021 9:12:03 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/28/2021 10:19:50 AM (Review- Construction NOI 66714)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/28/2021 9:12 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 30, 2021 5:00
PM 9/28/2021 9:12 AM
Submit by Evans, Shaundra M 9/29/2021 8:23:23 AM (Payment Verification for NCC215407)
* Manoj Jain
• Evans, Shaundra M assigned the task to Evans, Shaundra M 9/29/2021 8:22 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 9, 2021 5:00
PM 9/28/2021 10:20 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Hickory Downs Lot 6
Lot Numbers
(If listed on the eN0l)
6
NC Reference No.*
NCG01-2021-5407
Certificate of
NCC215407
Coverage (COC)
No.*
Invoice Date
9/28/2021
Initial Invoice No.
NCC215407-2021
Initial Fee
$ 100.00
Invoice Due Date
10/28/2021
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
9/29/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
595010289
Transaction
Number*
NOI Tracking No.
66714
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CHATFI­2021-Hickory Downs Lot 6