NCC215872_NOI 69195 Payment Verification_20211109

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/20/2021 10:16:11 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/20/2021 10:50:15 AM (Review - Construction NOI 69195)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/20/2021 10:16 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 22, 2021 5:00
PM 10/20/2021 10:16 AM
Submit by Evans, Shaundra M 11/9/2021 8:27:03 AM (Payment Verification for NCC215872)
* Douglas Taylor
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/9/2021 8:26 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 1, 2021 5:00 PM
10/20/2021 10:50 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Oak Solar -Phase B
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-5872
Certificate of NCC215872
Coverage (COC) No.*
Invoice Date 10/20/2021
Initial Invoice No. NCC215872-2021
Initial Fee $ 100.00
Invoice Due Date 11/19/2021
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 11/9/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 601841304
Transaction Number*
NOI Tracking No. 69195
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-NORTH-2021-Oak Solar -Phase B