NCC215538_NOI 67819 Payment Verification_20211007

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/4/2021 11:35:19 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/5/2021 7:44:10 AM (Review- Construction NOI 67819)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/4/2021 11:35 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 6, 2021 5:00
PM 10/4/2021 11:35 AM
Submit by Evans, Shaundra M 10/7/2021 8:29:06 AM (Payment Verification for NCC215538)
* David Michaels
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/7/2021 8:28 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 16, 2021 5:00
PM 10/5/2021 7:44 AM

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•
V.
• yrnent Verification
NORTH CAROLINA
Envtro me tufQuuftty
Project Name
Roger's Farm Ph. 2
Lot Numbers
(If listed on the eNOI)
Lots in Phase 2
NC Reference No.*
NCG01-2021-5538
Certificate of
NCC215538
Coverage (COC)
No.*
Invoice Date
10/5/2021
Initial Invoice No.
NCC215538-2021
Initial Fee
$ 100.00
Invoice Due Date
11/4/2021
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* r Payment Received.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payme nt
10/7/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r Other
ePayment
596386829
Transaction
Number*
NOI Tracking No.
67819
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-GUILF-2021-Roger's Farm Ph. 2