NCC216061_NOI 71404 Payment Verification_20211103

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/28/2021 6:20:45 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/2/2021 8:13:43 AM (Review - Construction NOI 71404)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/28/2021 6:21 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 1, 2021 5:00
PM 10/28/2021 6:21 PM
Submit by Evans, Shaundra M 11/3/2021 9:23:21 AM (Payment Verification for NCC216061)
F Laura Lee
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/3/2021 9:22 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 14, 2021 5:00
PM 11/2/2021 8:13 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Dean Manor Subdivision Lots
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6061
Certificate of NCC216061
Coverage (COC) No.*
Invoice Date 11/2/2021
Initial Invoice No. NCC216061-2021
Initial Fee $ 100.00
Invoice Due Date 12/2/2021
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 11/3/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 600752529
Transaction Number*
NOI Tracking No. 71404
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JOHNS-2021-Dean Manor Subdivision Lots