NCC215734_NOI 68637 Payment Verification_20211019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/13/2021 11:40:46 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/14/2021 6:53:44 AM (Review - Construction NOI 68637)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/13/2021 11:41 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 15, 2021 5:00
PM 10/13/2021 11:41 AM
Submit by Evans, Shaundra M 10/19/2021 9:25:10 AM (Payment Verification for NCC215734)
* Mark Schneider
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/19/2021 9:24 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 25, 2021 5:00
PM 10/14/2021 6:53 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Hager Worldwide Clearing Plan
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-5734
Certificate of NCC215734
Coverage (COC) No.*
Invoice Date 10/14/2021
Initial Invoice No. NCC215734-2021
Initial Fee $ 100.00
Invoice Due Date 11/13/2021
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 10/19/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 598359826
Transaction Number*
NOI Tracking No. 68637
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CATAW-2021-Hager Worldwide Clearing Plan