NCC216078_NOI 72020 Payment Verification_20211104

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/29/2021 2:26:53 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/2/2021 9:27:21 AM (Review - Construction NOI 72020)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/29/2021 2:27 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 2, 2021 5:00
PM 10/29/2021 2:27 PM
Submit by Evans, Shaundra M 11/4/2021 7:41:16 AM (Payment Verification for NCC216078)
F Windsor Built Homes Inc
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/4/2021 7:40 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 14, 2021 5:00
PM 11/2/2021 9:27 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Rutledge Road Subdivision Phase 1
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6078
Certificate of NCC216078
Coverage (COC) No.*
Invoice Date 11/2/2021
Initial Invoice No. NCC216078-2021
Initial Fee $ 100.00
Invoice Due Date 12/2/2021
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 11/4/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 600981401
Transaction Number*
NOI Tracking No. 72020
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HENDE-2021-Rutledge Road Subdivision Phase 1