NCC216466_NOI 73323 Payment Verification_20211118

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/16/2021 4:41:18 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/17/2021 7:27:31 AM (Review - Construction NOI 73323)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/16/2021 4:41 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 18, 2021 5:00
PM 11/16/2021 4:41 PM
Submit by Evans, Shaundra M 11/18/2021 7:19:30 AM (Payment Verification for NCC216466)
F Sonya Edens
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/18/2021 7:19 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 29, 2021 5:00
PM 11/17/2021 7:28 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Pilchers Branch
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6466
Certificate of NCC216466
Coverage (COC) No.*
Invoice Date 11/17/2021
Initial Invoice No. NCC216466-2021
Initial Fee $ 100.00
Invoice Due Date 12/17/2021
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 11/18/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 603364741
Transaction Number*
NOI Tracking No. 73323
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ONSLO-2021-Pilchers Branch