NCC216865_NOI 75337 Payment Verification_20211213

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/9/2021 11:13:12 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/10/2021 7:58:52 AM (Review - Construction NOI 75337)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/9/2021 11:13 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 13, 2021 5:00
PM 12/9/2021 11:13 AM
Submit by Evans, Shaundra M 12/13/2021 7:50:02 AM (Payment Verification for NCC216865)
F Louann Investment LLc
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/13/2021 7:49 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 21, 2022 5:00 PM
12/10/2021 7:59 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name LouAnn Investments, LLC Property
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6865
Certificate of NCC216865
Coverage (COC) No.*
Invoice Date 12/10/2021
Initial Invoice No. NCC216865-2021
Initial Fee $ 100.00
Invoice Due Date 1/9/2022
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 12/13/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 607278986
Transaction Number*
NOI Tracking No. 75337
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BRUNS-2021-LouAnn Investments, LLC Property