NCC216741_NOI 74876 Payment Verification_20220103

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/3/2021 11:17:31 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/6/2021 6:49:05 AM (Review - Construction NOI 74876)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/3/2021 11:17 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 7, 2021 5:00
PM 12/3/2021 11:17 AM
Submit by Selkane, Aziza 1/3/2022 12:17:05 PM (Payment Verification for NCC216741)
F John W Massengill
• Selkane, Aziza assigned the task to Selkane, Aziza 1/3/2022 12:11 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 17, 2022 5:00 PM
12/6/2021 6:49 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Forest Bluff Estates
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6741
Certificate of NCC216741
Coverage (COC) No.*
Invoice Date 12/6/2021
Initial Invoice No. NCC216741-2021
Initial Fee $ 100.00
Invoice Due Date 1/5/2022
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 1/3/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 610908523
Transaction Number*
NOI Tracking No. 74876
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WAKE-2021-Forest Bluff Estates