NCC215523_NOI 67727 Payment Verification_20211005

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/1/2021 4:36:43 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/4/2021 10:12:54 AM (Review- Construction NOI 67727)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/1/2021 4:37 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 5, 2021 5:00
PM 10/1/2021 4:37 PM
Submit by Evans, Shaundra M 10/5/2021 10:13:23 AM (Payment Verification for NCC215523)
* Robuck Homes LLC
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/5/2021 10:12 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 15, 2021 5:00
PM 10/4/2021 10:13 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Baylee Ridge Lots 1-10, 66-72, 76-98
Lot Numbers
(IF listed on the eNOI)
1-10, 66-72, 76-98
NC Reference No.*
NCG01-2021-5523
Certificate of
NCC215523
Coverage (COC)
No.*
Invoice Date
10/4/2021
Initial Invoice No.
NCC215523-2021
Initial Fee
$ 100.00
Invoice Due Date
11/3/2021
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*
IT Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
10/5/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
595981310
Transaction
Number*
NOI Tracking No.
67727
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-JOHNS-2021-Baylee Ridge Lots 1-10, 66-72, 76-98