NCC216262_NOI 72684 Payment Verification_20211110

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/8/2021 1:49:27 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/9/2021 7:52:00 AM (Review - Construction NOI 72684)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/8/2021 1:50 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 10, 2021 5:00
PM 11/8/2021 1:50 PM
Submit by Evans, Shaundra M 11/10/2021 7:50:27 AM (Payment Verification for NCC216262)
F Alex Carter
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/10/2021 7:50 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 21, 2021 5:00
PM 11/9/2021 7:52 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Long Creek Village Phase 1A
Lot Numbers
(If listed on the eNOI)
1-13 and 49-62
NC Reference No.*
NCG01-2021-6262
Certificate of
NCC216262
Coverage (COC) No.*
Invoice Date
11/9/2021
Initial Invoice No.
NCC216262-2021
Initial Fee
$ 100.00
Invoice Due Date
12/9/2021
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
11/10/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
602037012
Transaction Number*
NOI Tracking No.
72684
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-FORSY-2021-Long Creek Village Phase 1A