NCC214792_NOI 62634 Payment Verification_20210825

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/20/2021 12:06:47 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/23/2021 7:41:45 AM (Review- Construction NOI 62634)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/20/2021 12:07 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 24, 2021 5:00
PM 8/20/2021 12:07 PM
Submit by Miller, Ariyelle L 8/25/2021 1:32:41 PM (Payment Verification for NCC214792)
* J Kester & Rose LLC
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 8/25/2021 1:28 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 4, 2021 5:00 PM
8/23/2021 7:42 AM

�.• �,+STA7E o�
NORTH CAROLINA
Environmental Quvllty
Project Name Blackwood Farm Park - Phase II
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-4792
Certificate of NCC214792
Coverage (COC)
No.*
Invoice Date 8/23/2021
Initial Invoice No. NCC214792-2021
Initial Fee $ 100.00
Invoice Due Date 9/22/2021
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 8/25/2021
Received* (Or, if not received, date rejected for no payment)
Method of Payment* r electronic
r check
f Other
Check Number* 001252
NOI Tracking No. 62634
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-ORANG-2021-Blackwood Farm Park - Phase 11