NCC216510_NOI 73466 Payment Verification_20211129

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/18/2021 9:23:49 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/18/2021 9:32:44 AM (Review - Construction NOI 73466)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/18/2021 9:24 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 22, 2021 5:00
PM 11/18/2021 9:24 AM
Submit by Evans, Shaundra M 11/29/2021 8:21:38 AM (Payment Verification for NCC216510)
F Tim Maxey
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/29/2021 8:20 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 30, 2021 5:00
PM 11/18/2021 9:32 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Lot 23 Wood View
Lot Numbers
(If listed on the eNOI)
23
NC Reference No.*
NCG01-2021-6510
Certificate of
NCC216510
Coverage (COC) No.*
Invoice Date
11/18/2021
Initial Invoice No.
NCC216510-2021
Initial Fee
$ 100.00
Invoice Due Date
12/18/2021
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
11/29/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
605061778
Transaction Number*
NOI Tracking No.
73466
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-FORSY-2021-Lot 23 Wood View