NCC217102_NOI 76228 Payment Verification_20211222

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/20/2021 3:11:15 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/21/2021 7:21:42 AM (Review - Construction NOI 76228)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/20/2021 3:11 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 22, 2021 5:00
PM 12/20/2021 3:11 PM
Submit by Evans, Shaundra M 12/22/2021 7:56:07 AM (Payment Verification for NCC217102)
P Kristen Speight
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/22/2021 7:55 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 1, 2022 5:00 PM
12/21/2021 7:21 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
15517 Possum Track Road
Lot Numbers
(If listed on the eNOI)
2
NC Reference No.*
NCG01-2021-7102
Certificate of
NCC217102
Coverage (COC) No.*
Invoice Date
12/21/2021
Initial Invoice No.
NCC217102-2021
Initial Fee
$ 100.00
Invoice Due Date
1/20/2022
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
12/22/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
609183581
Transaction Number*
NOI Tracking No.
76228
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-WAKE-2022-15517 Possum Track Road