NCC216889_NOI 75459 Payment Verification_20211213

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/10/2021 10:41:35 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/10/2021 10:49:09 AM (Review - Construction NOI 75459)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/10/2021 10:41 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 14, 2021 5:00
PM 12/10/2021 10:41 AM
Submit by Evans, Shaundra M 12/13/2021 8:07:09 AM (Payment Verification for NCC216889)
* John Thomas Beaird
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/13/2021 8:06 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 21, 2022 5:00 PM
12/10/2021 10:49 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Crossfit Shoofly
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-6889
Certificate of
NCC216889
Coverage (COC) No.*
Invoice Date
12/10/2021
Initial Invoice No.
NCC216889-2021
Initial Fee
$ 100.00
Invoice Due Date
1/9/2022
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
12/13/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
ePayment
607463320
Transaction Number*
NOI Tracking No.
75459
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-WAKE-2021-Crossfit Shoofly