NCC215844_NOI 69059 Payment Verification_20211020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/19/2021 10:46:58 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/19/2021 10:52:22 AM (Review - Construction NOI 69059)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/19/2021 10:47 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 21, 2021 5:00
PM 10/19/2021 10:47 AM
Submit by Evans, Shaundra M 10/20/2021 8:16:38 AM (Payment Verification for NCC215844)
* Adam Zinn
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/20/2021 8:16 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 30, 2021 5:00
PM 10/19/2021 10:52 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Greenbrae
Lot Numbers
(If listed on the eNOI)
n/a
NC Reference No.*
NCG01-2021-5844
Certificate of
NCC215844
Coverage (COC) No.*
Invoice Date
10/19/2021
Initial Invoice No.
NCC215844-2021
Initial Fee
$ 100.00
Invoice Due Date
11/18/2021
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
10/20/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
598551778
Transaction Number*
NOI Tracking No.
69059
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ORANG-2021-Greenbrae