NCC215655_NOI 68364 Payment Verification_20211012

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/11/2021 9:28:54 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/11/2021 9:44:19 AM (Review- Construction NOI 68364)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/11/2021 9:29 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 13, 2021 5:00
PM 10/11/2021 9:29 AM
Submit by Evans, Shaundra M 10/12/2021 8:18:08 AM (Payment Verification for NCC215655)
* Capital Properties of Raleigh 11
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/12/2021 8:17 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 22, 2021 5:00
PM 10/11/2021 9:44 AM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
3404 Page Road
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-5655
Certificate of
NCC215655
Coverage (COC)
No.*
Invoice Date
10/11/2021
Initial Invoice No.
NCC215655-2021
Initial Fee
$ 100.00
Invoice Due Date
11/10/2021
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
10/12/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
597137552
Transaction
Number*
NOI Tracking No.
68364
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-DURHA-2021-3404 Page Road