NCC220428_NOI 78918 Payment Verification_20220121

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/20/2022 11:52:40 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/21/2022 6:47:26 AM (Review - Construction NOI 78918)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/20/2022 11:53 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 24, 2022 5:00
PM 1/20/2022 11:53 AM
Submit by Morman, Alaina 1/21/2022 9:23:24 AM (Payment Verification for NCC220428)
F E B Shearburn
• Morman, Alaina assigned the task to Morman, Alaina 1/21/2022 9:22 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 4, 2022 5:00 PM
1/21/2022 6:47 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Forsyth County Family Services
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-0428
Certificate of NCC220428
Coverage (COC) No.*
Invoice Date 1/21/2022
Initial Invoice No. NCC220428-2022
Initial Fee $ 100.00
Invoice Due Date 2/20/2022
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 1/21/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 614319091
Transaction Number*
NOI Tracking No. 78918
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2022-Forsyth County Family Services