NCC214249_NOI 59584 Payment Verification_20210729

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/21/2021 1:56:18 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/21/2021 11:21:35 PM (Review- Construction NOI 59584)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/21/2021 1:57 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 23, 2021 5:00 PM
7/21/2021 1:57 PM
Submit by Selkane, Aziza 7/29/2021 2:36:45 PM (Payment Verification for NCC214249)
* Boon Life Adventures LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 7/29/2021 2:36 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 1, 2021 5:00
PM 7/21/2021 11:21 PM

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NORTH CAROLINA
Environmental Quvllty
Project Name BOON LIFE ADVENTURES, LLC
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-4249
Certificate of NCC214249
Coverage (COC)
No.*
Invoice Date 7/21/2021
Initial Invoice No. NCC214249-2021
Initial Fee $ 100.00
Invoice Due Date 8/20/2021
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* r Payment Received.
f Payment NOT RECEIVED.
Payment Status PAID
Date Payment 7/29/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 1018
NOI Tracking No. 59584
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-RUTHE-2021-BOON LIFE ADVENTURES, LLC