NCC217040_NOI 75989 Payment Verification_20211220

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/16/2021 2:42:01 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/17/2021 11:16:45 AM (Review - Construction NOI 75989)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/16/2021 2:42 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 20, 2021 5:00
PM 12/16/2021 2:42 PM
Submit by Evans, Shaundra M 12/20/2021 8:08:54 AM (Payment Verification for NCC217040)
F Jessica Meyer
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/20/2021 8:08 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 28, 2022 5:00 PM
12/17/2021 11:16 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Anderson Farm Subdivision
Lot Numbers
(If listed on the eNOI)
201
NC Reference No.*
NCG01-2021-7040
Certificate of
NCC217040
Coverage (COC) No.*
Invoice Date
12/17/2021
Initial Invoice No.
NCC217040-2021
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
608581820
Transaction Number*
NOI Tracking No.
75989
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-GUILF-2021-Anderson Farm Subdivision