NCC215403_NOI 66708 Payment Verification_20211102

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/28/2021 8:53:58 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/28/2021 10:04:49 AM (Review - Construction NOI 66708)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/28/2021 8:54 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 30, 2021 5:00
PM 9/28/2021 8:54 AM
Submit by Selkane, Aziza 11/2/2021 1:08:30 PM (Payment Verification for NCC215403)
F Owen Schultz
• Selkane, Aziza assigned the task to Selkane, Aziza 11/2/2021 1:07 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 9, 2021 5:00 PM
9/28/2021 10:05 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name High Hampton Uplands Ridge
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-5403
Certificate of NCC215403
Coverage (COC) No.*
Invoice Date 9/28/2021
Initial Invoice No. NCC215403-2021
Initial Fee $ 100.00
Invoice Due Date 10/28/2021
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 11/2/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 600590057
Transaction Number*
NOI Tracking No. 66708
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JACKS-2021-High Hampton Uplands Ridge