NCC215681_NOI 68436 Payment Verification_20211013

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/11/2021 3:32:02 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/12/2021 8:21:55 AM (Review- Construction NOI 68436)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/11/2021 3:32 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 13, 2021 5:00
PM 10/11/2021 3:32 PM
Submit by Evans, Shaundra M 10/13/2021 8:17:27 AM (Payment Verification for NCC215681)
* Parker Stone
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/13/2021 8:16 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 23, 2021 5:00
PM 10/12/2021 8:22 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllty
Project Name
Westfall Lot 111
Lot Numbers
(IF listed on the eNOI)
111
NC Reference No.*
NCG01-2021-5681
Certificate of
NCC215681
Coverage (COC)
No.*
Invoice Date
10/12/2021
Initial Invoice No.
NCC215681-2021
Initial Fee
$ 100.00
Invoice Due Date
11/11/2021
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*
IT Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
10/13/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
597289664
Transaction
Number*
NOI Tracking No.
68436
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-CHATI-1-2021-Westfall Lot 111