NCC216642_NOI 74010 Payment Verification_20211130

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/29/2021 10:56:18 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/29/2021 11:00:11 AM (Review - Construction NOI 74010)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/29/2021 10:56 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 1, 2021 5:00
PM 11/29/2021 10:56 AM
Submit by Evans, Shaundra M 11/30/2021 8:32:27 AM (Payment Verification for NCC216642)
* tommy Leppert
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/30/2021 8:31 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 10, 2022 5:00 PM
11 /29/2021 11:00 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name LAUREL BROOK
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6642
Certificate of NCC216642
Coverage (COC) No.*
Invoice Date 11/29/2021
Initial Invoice No. NCC216642-2021
Initial Fee $ 100.00
Invoice Due Date 12/29/2021
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 11/30/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 605205831
Transaction Number*
NOI Tracking No. 74010
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CATAW-2021-LAUREL BROOK