NCC215746_NOI 68680 Payment Verification_20211101

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/13/2021 3:16:08 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/14/2021 7:47:03 AM (Review - Construction NOI 68680)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/13/2021 3:16 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 15, 2021 5:00
PM 10/13/2021 3:16 PM
Submit by Evans, Shaundra M 11/1/2021 9:13:22 AM (Payment Verification for NCC215746)
* Matt Raab
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/1/2021 9:11 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 25, 2021 5:00
PM 10/14/2021 7:47 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Brightleaf Terrace
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-5746
Certificate of
NCC215746
Coverage (COC) No.*
Invoice Date
10/14/2021
Initial Invoice No.
NCC215746-2021
Initial Fee
$ 100.00
Invoice Due Date
11/13/2021
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
11/1/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
600161611
Transaction Number*
NOI Tracking No.
68680
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
N CC-ROWAN-2021 -Brig htleaf Terrace