NCC215620_NOI 68181 Payment Verification_20211014

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/7/2021 12:50:14 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/8/2021 9:44:57 AM (Review - Construction NOI 68181)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/7/2021 12:51 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 11, 2021 5:00
PM 10/7/2021 12:51 PM
Submit by Evans, Shaundra M 10/14/2021 9:39:36 AM (Payment Verification for NCC215620)
* Danielle Fisher
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/14/2021 9:39 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 19, 2021 5:00
PM 10/8/2021 9:45 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Providence Road Sidewalk
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-5620
Certificate of NCC215620
Coverage (COC) No.*
Invoice Date 10/8/2021
Initial Invoice No. NCC215620-2021
Initial Fee $ 100.00
Invoice Due Date 11/7/2021
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* Payment Received.
Payment NOT RECEIVED.
Payment Status PAID
Date Payment 10/14/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 597508580
Transaction Number*
NOI Tracking No. 68181
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2021-Providence Road Sidewalk