NCC216660_NOI 74074 Payment Verification_20211201

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/29/2021 3:26:35 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/30/2021 8:37:50 AM (Review - Construction NOI 74074)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/29/2021 3:27 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 1, 2021 5:00
PM 11/29/2021 3:27 PM
Submit by Evans, Shaundra M 12/1/2021 8:44:15 AM (Payment Verification for NCC216660)
F Tracey Davis
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/1/2021 8:43 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 11, 2022 5:00 PM
11 /30/2021 8:38 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Haywood Glen Phase 3
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6660
Certificate of NCC216660
Coverage (COC) No.*
Invoice Date 11/30/2021
Initial Invoice No. NCC216660-2021
Initial Fee $ 100.00
Invoice Due Date 12/30/2021
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 12/1/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 605387160
Transaction Number*
NOI Tracking No. 74074
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WAKE-2021-Haywood Glen Phase 3