NCC213569_NOI 55321 Payment Verification_20210614

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/10/2021 2:48:38 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/11/2021 7:42:20 AM (Review- Construction NOI 55321)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/10/2021 2:50 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 14, 2021 5:00 PM
6/10/2021 2:50 PM
Submit by Selkane, Aziza 6/14/2021 8:59:08 AM (Payment Verification for NCC213569)
* Katherine Lusk
• Selkane, Aziza assigned the task to Selkane, Aziza 6/14/2021 8:58 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 23, 2021 5:00 PM
6/11/2021 7:42 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Buckhorn Branch Park
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-3569
Certificate of
NCC213569
Coverage (COC)
No.*
Invoice Date
6/11/2021
Initial Invoice No.
NCC213569-2021
Initial Fee
$ 100.00
Invoice Due Date
7/11/2021
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* IT Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
6/14/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
577062385
Transaction
Number*
NOI Tracking No.
55321
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-JOHNS-2021-Buckhorn Branch Park