NCC216119_NOI 72223 Payment Verification_20211104

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/2/2021 11:06:31 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/3/2021 8:49:04 AM (Review - Construction NOI 72223)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/2/2021 11:06 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 4, 2021 5:00
PM 11/2/2021 11:06 AM
Submit by Evans, Shaundra M 11/4/2021 8:05:45 AM (Payment Verification for NCC216119)
F Michele Ciban
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/4/2021 8:05 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 15, 2021 5:00
PM 11/3/2021 8:49 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Grandview Crossing Erosion Control
Lot Numbers
(If listed on the eNOI)
12-29 53-57 61-66
NC Reference No.*
NCG01-2021-6119
Certificate of
NCC216119
Coverage (COC) No.*
Invoice Date
11/3/2021
Initial Invoice No.
NCC216119-2021
Initial Fee
$ 100.00
Invoice Due Date
12/3/2021
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*
Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
11/4/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
600963443
Transaction Number*
NOI Tracking No.
72223
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-FORSY-2021-Grandview Crossing Erosion Control