NCC217019_NOI 75926 Payment Verification_20211220

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/16/2021 10:03:51 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/17/2021 7:51:48 AM (Review - Construction NOI 75926)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/16/2021 10:04 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 20, 2021 5:00
PM 12/16/2021 10:04 AM
Submit by Evans, Shaundra M 12/20/2021 7:40:24 AM (Payment Verification for NCC217019)
F Adam Stewart
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/20/2021 7:39 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 28, 2022 5:00 PM
12/17/2021 7:51 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Sadie Valley Subdivision
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2021-7019
Certificate of NCC217019
Coverage (COC) No.*
Invoice Date 12/17/2021
Initial Invoice No. NCC217019-2021
Initial Fee $ 100.00
Invoice Due Date 1/16/2022
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 12/20/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 608499386
Transaction Number*
NOI Tracking No. 75926
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2021-Sadie Valley Subdivision