NCC216355_NOI 72984 Payment Verification_20211115

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/11/2021 8:19:57 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/12/2021 9:38:20 AM (Review - Construction NOI 72984)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/11/2021 8:20 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 15, 2021 5:00
PM. The priority is: High 11/11/2021 8:20 AM
Submit by Evans, Shaundra M 11/15/2021 8:01:13 AM (Payment Verification for NCC216355)
* Stewart Tate
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/15/2021 8:00 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 24, 2021 5:00 PM.
The priority is: High 11/12/2021 9:38 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Jumping Run Amenity Area #1
Lot Numbers
(If listed on the eNOI)
COS between 177 and 178
NC Reference No.*
NCG01-2021-6355
Certificate of
NCC216355
Coverage (COC) No.*
Invoice Date
11/12/2021
Initial Invoice No.
NCC216355-2021
Initial Fee
$ 100.00
Invoice Due Date
12/12/2021
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
11/15/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
602531931
Transaction Number*
NOI Tracking No.
72984
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-BURKE-2021-Jumping Run Amenity Area #1