NCC217005_NOI 75885 Payment Verification_20211217

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/15/2021 3:26:49 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/16/2021 10:02:13 AM (Review - Construction NOI 75885)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/15/2021 3:27 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 17, 2021 5:00
PM 12/15/2021 3:27 PM
Submit by Evans, Shaundra M 12/17/2021 7:31:09 AM (Payment Verification for NCC217005)
* Jennifer Edwards
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/17/2021 7:30 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 27, 2022 5:00 PM
12/16/2021 10:02 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Bumgarner Site
Lot Numbers
(If listed on the eNOI)
2205331 & 2205330
NC Reference No.*
NCG01-2021-7005
Certificate of
NCC217005
Coverage (COC) No.*
Invoice Date
12/16/2021
Initial Invoice No.
NCC217005-2021
Initial Fee
$ 100.00
Invoice Due Date
1/15/2022
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
12/17/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
608316236
Transaction Number*
NOI Tracking No.
75885
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-WILKE-2022-Bumgarner Site