NCC220171_NOI 77797 Payment Verification_20220111

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/7/2022 9:14:15 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/7/2022 9:20:46 AM (Review - Construction NOI 77797)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/7/2022 9:14 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 11, 2022 5:00
PM 1/7/2022 9:14 AM
Submit by Selkane, Aziza 1/11/2022 8:11:33 AM (Payment Verification for NCC220171)
P Richard P and Dawn L Anderson
• Selkane, Aziza assigned the task to Selkane, Aziza 1/11/2022 8:10 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 18, 2022 5:00 PM
1/7/2022 9:20 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Jackson Manor Lot #38 - Anderson Residence
Lot Numbers
(If listed on the eNOI)
Lot #38 Jackson Manor
NC Reference No.*
NCG01-2022-0171
Certificate of
NCC220171
Coverage (COC) No.*
Invoice Date
1/7/2022
Initial Invoice No.
NCC220171-2022
Initial Fee
$ 100.00
Invoice Due Date
2/6/2022
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
1/11/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
1013
NOI Tracking No.
77797
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-WAKE-2022-Jackson Manor Lot #38 - Anderson Residence