NCC215599_NOI 68123 Payment Verification_20211011

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/7/2021 7:57:06 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/7/2021 8:06:53 AM (Review- Construction NOI 68123)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/7/2021 7:57 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 11, 2021 5:00
PM 10/7/2021 7:57 AM
Submit by Evans, Shaundra M 10/11/2021 9:21:17 AM (Payment Verification for NCC215599)
* Jon Grabowski
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/11/2021 9:20 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 18, 2021 5:00
PM 10/7/2021 8:07 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
SURREY WOODS
Lot Numbers
(IF listed on the eNOI)
1 - 28
NC Reference No.*
NCG01-2021-5599
Certificate of
NCC215599
Coverage (COC)
No.*
Invoice Date
10/7/2021
Initial Invoice No.
NCC215599-2021
Initial Fee
$ 100.00
Invoice Due Date
11/6/2021
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*
IT Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
10/11/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
596683172
Transaction
Number*
NOI Tracking No.
68123
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-MECKL-2021-SURREY WOODS