NCC216031_NOI 70675 Payment Verification_20211029

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/28/2021 7:47:21 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/28/2021 7:53:44 AM (Review - Construction NOI 70675)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/28/2021 7:48 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 1, 2021 5:00
PM 10/28/2021 7:48 AM
Submit by Evans, Shaundra M 10/29/2021 9:30:55 AM (Payment Verification for NCC216031)
F Darren Bryan
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/29/2021 9:30 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 9, 2021 5:00 PM
10/28/2021 7:54 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
LoSo Building 3
Lot Numbers
(If listed on the eNOI)
Building 3
NC Reference No.*
NCG01-2021-6031
Certificate of
NCC216031
Coverage (COC) No.*
Invoice Date
10/28/2021
Initial Invoice No.
NCC216031-2021
Initial Fee
$ 100.00
Invoice Due Date
11/27/2021
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
10/29/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
599958928
Transaction Number*
NOI Tracking No.
70675
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2021-LoSo Building 3