NCC215661_NOI 68379 Payment Verification_20211013

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/11/2021 10:30:49 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/11/2021 10:38:26 AM (Review- Construction NOI 68379)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/11/2021 10:31 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 13, 2021 5:00
PM 10/11/2021 10:31 AM
Submit by Evans, Shaundra M 10/13/2021 7:53:44 AM (Payment Verification for NCC215661)
* Thomas Brian Herring
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/13/2021 7:53 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 22, 2021 5:00
PM 10/11/2021 10:38 AM

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NORTH CAROLINA
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Project Name
Everly Phase 4 Lots
Lot Numbers
(If listed on the eN0l)
Lot 170
Lot 169
Lot 168
Lot 165
Lot 166
Lot 167
Lot 160
NC Reference No.*
NCG01-2021-5661
Certificate of
NCC215661
Coverage (COC)
No.*
Invoice Date
10/11/2021
Initial Invoice No. NCC215661-2021
Initial Fee $ 100.00
Invoice Due Date 11/10/2021
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 eNO1 at this step.
Payment Received* r Payment Received.
r Payment NOT RECEIVED.
Payment Status PAID
Date Payment 10/13/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
r check
r Other
ePayment 597280523
Transaction
Number*
NOI Tracking No. 68379
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-FRANK-2021-Everly Phase 4 Lots