NCC215557_NOI 67940 Payment Verification_20211027

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/5/2021 1:13:11 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/6/2021 7:34:46 AM (Review - Construction NOI 67940)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/5/2021 1:14 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 7, 2021 5:00 PM
10/5/2021 1:14 PM
Submit by Evans, Shaundra M 10/27/2021 8:38:12 AM (Payment Verification for NCC215557)
P Jamison Fair
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/27/2021 8:37 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 17, 2021 5:00
PM 10/6/2021 7:35 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmmraf Quafhy
Project Name
RiverLights SF Phase 3 Rev 101
Lot Numbers
(If listed on the eNOI)
295, 296, 297, 404, 407, 427, 428, 429, 430, 471, 501, 502 & 503
NC Reference No.*
NCG01-2021-5557
Certificate of
NCC215557
Coverage (COC) No.*
Invoice Date
10/6/2021
Initial Invoice No.
NCC215557-2021
Initial Fee
$ 100.00
Invoice Due Date
11/5/2021
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
10/27/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
599670105
Transaction Number*
NOI Tracking No.
67940
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-NEW H-2021-RiverLights SF Phase 3 Rev 101