NCC216683_NOI 74589 Payment Verification_20211202

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/30/2021 12:52:16 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/1/2021 8:44:20 AM (Review - Construction NOI 74589)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/30/2021 12:52 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 2, 2021 5:00
PM. The priority is: High 11/30/2021 12:52 PM
Submit by Evans, Shaundra M 12/2/2021 9:35:10 AM (Payment Verification for NCC216683)
IN Jonathan Kyle Jacobs
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/2/2021 9:34 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 12, 2022 5:00 PM.
The priority is: High 12/1/2021 8:44 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name East Clayton Community Park
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6683
Certificate of NCC216683
Coverage (COC) No.*
Invoice Date 12/1/2021
Initial Invoice No. NCC216683-2021
Initial Fee $ 100.00
Invoice Due Date 12/31/2021
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 12/2/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 605660728
Transaction Number*
NOI Tracking No. 74589
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JOHNS-2022-East Clayton Community Park