NCC216329_NOI 72897 Payment Verification_20211112

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/10/2021 11:06:43 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/10/2021 11:17:23 AM (Review - Construction NOI 72897)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/10/2021 11:07 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 12, 2021 5:00
PM 11/10/2021 11:07 AM
Submit by Evans, Shaundra M 11/12/2021 8:14:09 AM (Payment Verification for NCC216329)
F Scott Burwell
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/12/2021 8:13 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 22, 2021 5:00
PM 11/10/2021 11:17 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Rutherford County CDLF Phase 2
Lot Numbers
(If listed on the eNOI)
97 1 51, 97 1 52 (Parcels: 1206282, 1614250)
NC Reference No.*
NCG01-2021-6329
Certificate of
NCC216329
Coverage (COC) No.*
Invoice Date
11/10/2021
Initial Invoice No.
NCC216329-2021
Initial Fee
$ 100.00
Invoice Due Date
12/10/2021
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*
• Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
11/12/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
602200891
Transaction Number*
NOI Tracking No.
72897
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-RUTHE-2021-Rutherford County CDLF Phase 2