NCC215583_NOI 68028 Payment Verification_20211012

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/6/2021 11:12:24 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/7/2021 7:00:10 AM (Review- Construction NOI 68028)
• The task was assigned to EADS\bcbroussard by round robin distribution 10/6/2021 11:13 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 8, 2021 5:00
PM 10/6/2021 11:13 AM
Submit by Evans, Shaundra M 10/12/2021 8:33:55 AM (Payment Verification for NCC215583)
* M Prather Foster
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/12/2021 8:33 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 18, 2021 5:00
PM 10/7/2021 7:00 AM

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NORTH CAROLINA
Envfro me tufQuuftty
Project Name Hinsdale Tinkerbell Storm Drainage Improvement Project
Lot Numbers (If listed on the eN01)
2
4
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8
17
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21
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89

yu
92
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145
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292
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303
NC Reference No.* NCG01-2021-5583
Certificate of NCC215583
Coverage (COC)
No. *
Invoice Date 10/7/2021
Initial Invoice No. NCC215583-2021

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 eNO1 at this step.
Payment Received* r Payment Received.
r Payment NOT RECEIVED.
Payment Status PAID
Date Payment 10/12/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
f check
f Other
ePayment 597186079
Transaction
Number*
NOI Tracking No. 68028
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-MECKL-2021-Hinsdale Tinkerbell Storm Drainage Improvement Project