NCC216920_NOI 75568 Payment Verification_20211215

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/13/2021 11:11:07 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/14/2021 7:33:52 AM (Review - Construction NOI 75568)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/13/2021 11:11 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 15, 2021 5:00
PM 12/13/2021 11:11 AM
Submit by Evans, Shaundra M 12/15/2021 7:45:57 AM (Payment Verification for NCC216920)
F Parker Stone
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/15/2021 7:45 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 25, 2022 5:00 PM
12/14/2021 7:34 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Chapel Ridge Lot 87
Lot Numbers
(If listed on the eNOI)
87
NC Reference No.*
NCG01-2021-6920
Certificate of
NCC216920
Coverage (COC) No.*
Invoice Date
12/14/2021
Initial Invoice No.
NCC216920-2021
Initial Fee
$ 100.00
Invoice Due Date
1/13/2022
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
12/15/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
607890633
Transaction Number*
NOI Tracking No.
75568
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2022-Chapel Ridge Lot 87