NCC216354_NOI 72979 Payment Verification_20211116

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/10/2021 5:44:02 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/12/2021 9:33:35 AM (Review - Construction NOI 72979)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/10/2021 5:44 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 12, 2021 5:00
PM 11/10/2021 5:44 PM
Submit by Evans, Shaundra M 11/16/2021 1:44:22 PM (Payment Verification for NCC216354)
F Crete Solutions LLC
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/16/2021 1:43 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 24, 2021 5:00
PM 11/12/2021 9:34 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Crete Solutions, LLC
Lot Numbers
(If listed on the eNOI)
Lot 6
NC Reference No.*
NCG01-2021-6354
Certificate of
NCC216354
Coverage (COC) No.*
Invoice Date
11/12/2021
Initial Invoice No.
NCC216354-2021
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
11/16/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
5422
NOI Tracking No.
72979
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-LINCO-2021-Crete Solutions, LLC