NCC215547_NOI 67860 Payment Verification_20211007

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/4/2021 3:50:02 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/5/2021 8:29:06 AM (Review- Construction NOI 67860)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/4/2021 3:50 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 6, 2021 5:00
PM 10/4/2021 3:50 PM
Submit by Evans, Shaundra M 10/7/2021 8:11:03 AM (Payment Verification for NCC215547)
* South State Development LLC
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/7/2021 8:10 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 16, 2021 5:00
PM 10/5/2021 8:29 AM

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NORTH CAROLINA
Environmental Quvllty
Project Name Peytons Ridge, Section 9
Lot Numbers (IF listed on the eNOI)
N/A
NC Reference No.* NCG01-2021-5547
Certificate of NCC215547
Coverage (COC)
No.*
Invoice Date 10/5/2021
Initial Invoice No. NCC215547-2021
Initial Fee $ 100.00
Invoice Due Date 11/4/2021
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* r Payment Received.
f Payment NOT RECEIVED.
Payment Status PAID
Date Payment 10/7/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 596382380
NOI Tracking No. 67860
Traclang ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-ONSLO-2021-Peytons Ridge, Section 9