NCC216374_NOI 73030 Payment Verification_20211206

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/11/2021 7:25:16 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/12/2021 11:43:43 AM (Review - Construction NOI 73030)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/11/2021 7:26 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 15, 2021 5:00
PM 11/11/2021 7:26 PM
Submit by Evans, Shaundra M 12/6/2021 8:22:48 AM (Payment Verification for NCC216374)
* Bernd Holler
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/6/2021 8:22 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 24, 2021 5:00
PM 11/12/2021 11:43 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Bernd Holler Residence
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6374
Certificate of NCC216374
Coverage (COC) No.*
Invoice Date 11/12/2021
Initial Invoice No. NCC216374-2021
Initial Fee $ 100.00
Invoice Due Date 12/12/2021
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 12/6/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 606372896
Transaction Number*
NOI Tracking No. 73030
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MACON-2021-Bernd Holler Residence