NCC216981_NOI 75791 Payment Verification_20211216

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/14/2021 7:53:19 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/15/2021 8:07:00 AM (Review - Construction NOI 75791)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/14/2021 7:53 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 16, 2021 5:00
PM. The priority is: High 12/14/2021 7:53 PM
Submit by Selkane, Aziza 12/16/2021 10:21:21 AM (Payment Verification for NCC216981)
F Jonathan Powers
• Selkane, Aziza assigned the task to Selkane, Aziza 12/16/2021 10:20 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 26, 2022 5:00 PM.
The priority is: High 12/15/2021 8:07 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Jones Keystone Ph. 2
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6981
Certificate of NCC216981
Coverage (COC) No.*
Invoice Date 12/15/2021
Initial Invoice No. NCC216981-2021
Initial Fee $ 100.00
Invoice Due Date 1/14/2022
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 12/16/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 608102262
Transaction Number*
NOI Tracking No. 75791
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-RANDO-2022-Jones Keystone Ph. 2