NCC216713_NOI 74749 Payment Verification_20211203

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/1/2021 5:00:47 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/2/2021 7:59:56 AM (Review - Construction NOI 74749)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/1/2021 5:01 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 3, 2021 5:00
PM. The priority is: High 12/1/2021 5:01 PM
Submit by Evans, Shaundra M 12/3/2021 10:33:06 AM (Payment Verification for NCC216713)
IN James Warren Smith III
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/3/2021 10:32 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 13, 2022 5:00 PM.
The priority is: High 12/2/2021 8:00 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Pennington Lot 31
Lot Numbers
(If listed on the eNOI)
31
NC Reference No.*
NCG01-2021-6713
Certificate of
NCC216713
Coverage (COC) No.*
Invoice Date
12/2/2021
Initial Invoice No.
NCC216713-2021
Initial Fee
$ 100.00
Invoice Due Date
1/1/2022
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
12/3/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
605831664
Transaction Number*
NOI Tracking No.
74749
Tracking ID referenced upon submittal
This is an Express
No
Review Project
• Yes
Project Tracking ID
NCC-WARRE-2021-Pennington Lot 31