NCC215294_NOI 65192 Payment Verification_20210924

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/20/2021 10:05:32 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/20/2021 10:30:27 AM (Review- Construction NOI 65192)
. The task was assigned to Broussard, Brooklyn C by round robin distribution 9/20/2021 10:06 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 22, 2021 5:00
PM 9/20/2021 10:06 AM
Submit by Selkane, Aziza 9/24/2021 1:03:38 PM (Payment Verification for NCC215294)
* Beacon Street Moss East, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 9/24/2021 1:02 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 1, 2021 5:00
PM 9/20/2021 10:30 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Moss East
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-5294
Certificate of
NCC215294
Coverage (COC)
No.*
Invoice Date
9/20/2021
Initial Invoice No.
NCC215294-2021
Initial Fee
$ 100.00
Invoice Due Date
10/20/2021
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* IT Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
9/24/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
593805981
Transaction
Number*
NOI Tracking No.
65192
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-BEAUF-2021-Moss East