NCC215427_NOI 66776 Payment Verification_20211001

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/28/2021 2:46:00 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/29/2021 8:17:14 AM (Review- Construction NOI 66776)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/28/2021 2:47 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 30, 2021 5:00
PM 9/28/2021 2:47 PM
Submit by Evans, Shaundra M 10/1/2021 10:05:38 AM (Payment Verification for NCC215427)
* Public works 2
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/1/2021 10:04 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 10, 2021 5:00
PM 9/29/2021 8:17 AM

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•
V.
• yrnent Verification
NORTH CAROLINA
Envtro me tufQuuftty
Project Name
Worwood Acres Water Main Replacements
Lot Numbers
(If listed on the eN0l)
N/A
NC Reference No.*
NCG01-2021-5427
Certificate of
NCC215427
Coverage (COC)
No.*
Invoice Date
9/29/2021
Initial Invoice No.
NCC215427-2021
Initial Fee
$ 100.00
Invoice Due Date
10/29/2021
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.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
10/1/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r Other
ePayment
595363629
Transaction
Number*
NOI Tracking No.
66776
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-UNION-2021-Worwood Acres Water Main Replacements