NCC215958_NOI 69913 Payment Verification_20211027

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/26/2021 8:11:16 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/26/2021 8:20:28 AM (Review - Construction NOI 69913)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/26/2021 8:11 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 28, 2021 5:00
PM. The priority is: High 10/26/2021 8:11 AM
Submit by Evans, Shaundra M 10/27/2021 8:56:31 AM (Payment Verification for NCC215958)
F Larry thompson
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/27/2021 8:55 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 7, 2021 5:00 PM.
The priority is: High 10/26/2021 8:20 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Grace Lee Meadows, Phase 1
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-5958
Certificate of NCC215958
Coverage (COC) No.*
Invoice Date 10/26/2021
Initial Invoice No. NCC215958-2021
Initial Fee $ 100.00
Invoice Due Date 11/25/2021
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 10/27/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 599712363
Transaction Number*
NOI Tracking No. 69913
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-DAVID-2021-Grace Lee Meadows, Phase 1