NCC215442_NOI 66820 Payment Verification_20210930

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/29/2021 8:11:06 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/29/2021 9:24:03 AM (Review- Construction NOI 66820)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/29/2021 8:11 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 1, 2021 5:00
PM 9/29/2021 8:11 AM
Submit by Evans, Shaundra M 9/30/2021 8:56:43 AM (Payment Verification for NCC215442)
* Andrew Gansner Jr.
• Evans, Shaundra M assigned the task to Evans, Shaundra M 9/30/2021 8:56 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 10, 2021 5:00
PM 9/29/2021 9:24 AM

SfA7$ q,
•
• yrnent Verification
NORTH CAROLINA
Envtro me tufQuuftty
Project Name
Greenbriar - Statesville
Lot Numbers
(If listed on the eNDI)
4754774649 & 4754784690
NC Reference No.*
NCG01-2021-5442
Certificate of
NCC215442
Coverage (COC)
No.*
Invoice Date
9/29/2021
Initial Invoice No.
NCC215442-2021
Initial Fee
$ 100.00
Invoice Due Date
10/29/2021
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
9/30/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r Other
ePayment
595143661
Transaction
Number*
NOI Tracking No.
66820
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-IREDE-2021-Green briar - Statesville