NCC216916_NOI 75553 Payment Verification_20211214

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/13/2021 10:18:08 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/13/2021 10:22:49 AM (Review - Construction NOI 75553)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/13/2021 10:18 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 15, 2021 5:00
PM 12/13/2021 10:18 AM
Submit by Evans, Shaundra M 12/14/2021 7:44:40 AM (Payment Verification for NCC216916)
F James Halula
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/14/2021 7:43 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 24, 2022 5:00 PM
12/13/2021 10:23 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Acony Bell - PH3
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6916
Certificate of NCC216916
Coverage (COC) No.*
Invoice Date 12/13/2021
Initial Invoice No. NCC216916-2021
Initial Fee $ 100.00
Invoice Due Date 1/12/2022
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 12/14/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 607713644
Transaction Number*
NOI Tracking No. 75553
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HENDE-2022-Acony Bell - PH3