NCC215987_NOI 70092 Payment Verification_20211028

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/26/2021 4:01:13 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/27/2021 7:34:03 AM (Review - Construction NOI 70092)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/26/2021 4:02 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 28, 2021 5:00
PM 10/26/2021 4:02 PM
Submit by Evans, Shaundra M 10/28/2021 7:50:01 AM (Payment Verification for NCC215987)
F James Merrill
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/28/2021 7:49 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 8, 2021 5:00 PM
10/27/2021 7:34 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Alta Vista
Lot Numbers
(If listed on the eNOI)
2, 4, 5-48, 55-60
NC Reference No.*
NCG01-2021-5987
Certificate of
NCC215987
Coverage (COC) No.*
Invoice Date
10/27/2021
Initial Invoice No.
NCC215987-2021
Initial Fee
$ 100.00
Invoice Due Date
11/26/2021
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*
• Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
10/28/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
59914983
Transaction Number*
NOI Tracking No.
70092
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-DAVID-2021-Alta Vista