NCC215957_NOI 69907 Payment Verification_20211103

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/26/2021 7:53:31 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/26/2021 8:09:29 AM (Review - Construction NOI 69907)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/26/2021 7:55 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 28, 2021 5:00
PM 10/26/2021 7:55 AM
Submit by Selkane, Aziza 11/3/2021 3:50:54 PM (Payment Verification for NCC215957)
F Southern Living Investment
• Selkane, Aziza assigned the task to Selkane, Aziza 11/3/2021 3:49 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 7, 2021 5:00 PM
10/26/2021 8:09 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Lane Farms
Lot Numbers
(If listed on the eNOI)
1-16
NC Reference No.*
NCG01-2021-5957
Certificate of
NCC215957
Coverage (COC) No.*
Invoice Date
10/26/2021
Initial Invoice No.
NCC215957-2021
Initial Fee
$ 100.00
Invoice Due Date
11/25/2021
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
Check Number*
1374
NOI Tracking No.
69907
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-HARNE-2021-Lane Farms