NCC217012_NOI 75903 Payment Verification_20211217

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/15/2021 5:18:07 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/16/2021 11:59:39 AM (Review - Construction NOI 75903)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/15/2021 5:18 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 17, 2021 5:00
PM. The priority is: High 12/15/2021 5:18 PM
Submit by Evans, Shaundra M 12/17/2021 7:43:48 AM (Payment Verification for NCC217012)
F Kristyna Moore
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/17/2021 7:43 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 27, 2022 5:00 PM.
The priority is: High 12/16/2021 11:59 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Hayesville - Retail Store
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-7012
Certificate of NCC217012
Coverage (COC) No.*
Invoice Date 12/16/2021
Initial Invoice No. NCC217012-2021
Initial Fee $ 100.00
Invoice Due Date 1/15/2022
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 12/17/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 608342845
Transaction Number*
NOI Tracking No. 75903
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CLAY-2021-HayesviIle - Retail Store