NCC216709_NOI 74732 Payment Verification_20211203

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/1/2021 2:32:15 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/2/2021 7:44:22 AM (Review - Construction NOI 74732)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/1/2021 2:32 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 3, 2021 5:00
PM 12/1/2021 2:32 PM
Submit by Evans, Shaundra M 12/3/2021 10:53:22 AM (Payment Verification for NCC216709)
F Scott Killby
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/3/2021 10:52 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 13, 2022 5:00 PM
12/2/2021 7:44 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Encore at Streamside
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6709
Certificate of NCC216709
Coverage (COC) No.*
Invoice Date 12/2/2021
Initial Invoice No. NCC216709-2021
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 605862131
Transaction Number*
NOI Tracking No. 74732
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-UNION-2021-Encore at Streamside