NCC216410_NOI 73132 Payment Verification_20211118

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/15/2021 8:07:59 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/15/2021 8:10:50 AM (Review - Construction NOI 73132)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/15/2021 8:08 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 17, 2021 5:00
PM 11/15/2021 8:08 AM
Submit by Selkane, Aziza 11/18/2021 3:30:34 PM (Payment Verification for NCC216410)
F Stephen M. Hinshaw
Jane P. Hinshaw
• Selkane, Aziza assigned the task to Selkane, Aziza 11/18/2021 3:29 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 27, 2021 5:00
PM 11/15/2021 8:11 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
HINSHAW RESIDENCE
Lot Numbers
(If listed on the eNOI)
LOT #6
NC Reference No.*
NCG01-2021-6410
Certificate of
NCC216410
Coverage (COC) No.*
Invoice Date
11/15/2021
Initial Invoice No.
NCC216410-2021
Initial Fee
$ 100.00
Invoice Due Date
12/15/2021
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
11/18/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
350
NOI Tracking No.
73132
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-DAVIE-2021-HINSHAW RESIDENCE