NCC216160_NOI 72363 Payment Verification_20211108

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/3/2021 2:47:31 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/4/2021 8:23:19 AM (Review - Construction NOI 72363)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/3/2021 2:48 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 5, 2021 5:00
PM 11/3/2021 2:48 PM
Submit by Evans, Shaundra M 11/8/2021 8:20:43 AM (Payment Verification for NCC216160)
F Dewberry Engineers Inc
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/8/2021 8:20 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 16, 2021 5:00
PM 11/4/2021 8:23 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name West Club Boulevard Corridor Utility Rehabilitation
Lot Numbers (If listed on the eNOI)
NA - work in street right-of-way
NC Reference No.* NCG01-2021-6160
Certificate of NCC216160
Coverage (COC) No.*
Invoice Date 11/4/2021
Initial Invoice No. NCC216160-2021
Initial Fee $ 100.00
Invoice Due Date 12/4/2021
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 11/8/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* • electronic
check
Other
ePayment 601399254
Transaction Number*
NOI Tracking No. 72363
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-DURHA-2022-West Club Boulevard Corridor Utility Rehabilitation