NCC216851_NOI 75323 Payment Verification_20211210

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/9/2021 9:47:37 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/9/2021 9:51:02 AM (Review - Construction NOI 75323)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/9/2021 9:48 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 13, 2021 5:00
PM 12/9/2021 9:48 AM
Submit by Evans, Shaundra M 12/10/2021 7:55:09 AM (Payment Verification for NCC216851)
F Lucy g Stokes
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/10/2021 7:54 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 20, 2022 5:00 PM
12/9/2021 9:51 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Gardner -Lee Residence
Lot Numbers
(If listed on the eNOI)
Not Applicable
NC Reference No.*
NCG01-2021-6851
Certificate of
NCC216851
Coverage (COC) No.*
Invoice Date
12/9/2021
Initial Invoice No.
NCC216851-2021
Initial Fee
$ 100.00
Invoice Due Date
1/8/2022
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
12/10/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
607081137
Transaction Number*
NOI Tracking No.
75323
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ORANG-2022-Gardner-Lee Residence