NCC216674_NOI 74556 Payment Verification_20211201

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/30/2021 10:22:01 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/30/2021 11:28:07 AM (Review - Construction NOI 74556)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/30/2021 10:22 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 2, 2021 5:00
PM 11/30/2021 10:22 AM
Submit by Evans, Shaundra M 12/1/2021 8:45:54 AM (Payment Verification for NCC216674)
* Greg Perreault
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/1/2021 8:45 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 11, 2022 5:00 PM
11 /30/2021 11:28 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Asbury Chapel Farmhouse Cluster (#414961)
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6674
Certificate of NCC216674
Coverage (COC) No.*
Invoice Date 11/30/2021
Initial Invoice No. NCC216674-2021
Initial Fee $ 100.00
Invoice Due Date 12/30/2021
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 12/1/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 605391152
Transaction Number*
NOI Tracking No. 74556
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2021-Asbury Chapel Farmhouse Cluster (#414961)