NCC215636_NOI 68286 Payment Verification_20211202

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/8/2021 12:36:34 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/11/2021 7:16:24 AM (Review - Construction NOI 68286)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/8/2021 12:37 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 12, 2021 5:00
PM. The priority is: High 10/8/2021 12:37 PM
Submit by Evans, Shaundra M 12/2/2021 8:12:22 AM (Payment Verification for NCC215636)
IN christopher A Lewis
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/2/2021 8:11 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 22, 2021 5:00 PM.
The priority is: High 10/11/2021 7:17 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Brook Haven Subdivision
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-5636
Certificate of NCC215636
Coverage (COC) No.*
Invoice Date 10/11/2021
Initial Invoice No. NCC215636-2021
Initial Fee $ 100.00
Invoice Due Date 11/10/2021
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 12/2/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 605574237
Transaction Number*
NOI Tracking No. 68286
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FRANK-2021-Brook Haven Subdivision