NCC213495_NOI 55009 Payment Verification_20210614

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/7/2021 2:26:34 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/8/2021 7:35:04 AM (Review- Construction NOI 55009)
• The task was assigned to EADS\bcbroussard by round robin distribution 6/7/2021 2:27 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 9, 2021 5:00 PM
6/7/2021 2:27 PM
Submit by McCoy, Suzanne 6/14/2021 8:59:43 AM (Payment Verification for NCC213495)
* Sandy's Hauling & Backhoe Service Inc.
• McCoy, Suzanne assigned the task to McCoy, Suzanne 6/14/2021 8:59 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 20, 2021 5:00 PM
6/8/2021 7:35 AM

NORTH CAROLINA
Environmental Quvllty
Project Name Fox Trace Subdivision Expansion
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-3495
Certificate of NCC213495
Coverage (COC)
No.*
Invoice Date 6/8/2021
Initial Invoice No. NCC213495-2021
Initial Fee $ 100.00
Invoice Due Date 7/8/2021
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* r Payment Received.
f Payment NOT RECEIVED.
Payment Status PAID
Date Payment 6/14/2021
Received* (Or, if not received, date rejected for no payment)
Method of Payment* r electronic
r check
f Other
Check Number* 32468
NOI Tracking No. 55009
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-SAMPS-2020-Fox Trace Subdivision Expansion