NCC216829_NOI 75237 Payment Verification_20211216

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/8/2021 10:16:36 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/9/2021 7:39:25 AM (Review - Construction NOI 75237)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/8/2021 10:16 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 10, 2021 5:00
PM 12/8/2021 10:16 AM
Submit by Selkane, Aziza 12/16/2021 10:26:23 AM (Payment Verification for NCC216829)
* Tracey Davis
• Selkane, Aziza assigned the task to Selkane, Aziza 12/16/2021 10:25 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 20, 2022 5:00 PM
12/9/2021 7:39 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Baker Subdivision
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6829
Certificate of NCC216829
Coverage (COC) No.*
Invoice Date 12/9/2021
Initial Invoice No. NCC216829-2021
Initial Fee $ 100.00
Invoice Due Date 1/8/2022
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 12/16/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 608127665
Transaction Number*
NOI Tracking No. 75237
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FRANK-2021-Baker Subdivision