NCC215380_NOI 66643 Payment Verification_20210929

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/27/2021 3:36:08 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/28/2021 8:22:25 AM (Review- Construction NOI 66643)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/27/2021 3:36 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 29, 2021 5:00
PM 9/27/2021 3:36 PM
Submit by Evans, Shaundra M 9/29/2021 8:22:11 AM (Payment Verification for NCC215380)
* Parker Stone
• Evans, Shaundra M assigned the task to Evans, Shaundra M 9/29/2021 8:21 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 9, 2021 5:00
PM 9/28/2021 8:22 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envtro me tufQuuftty
Project Name
Prescott Manot Lot 26
Lot Numbers
(If listed on theeKOI)
26
NC Reference No.*
NCG01-2021-5380
Certificate of
NCC215380
Coverage (COC)
No.*
Invoice Date
9/28/2021
Initial Invoice No.
NCC215380-2021
Initial Fee
$ 100.00
Invoice Due Date
10/28/2021
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
9/29/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r Other
ePayment
595003792
Transaction
Number*
NOI Tracking No.
66643
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-WAKE-2021-Prescott Manot Lot 26