NCC215510_NOI 67658 Payment Verification_20211004

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/1/2021 10:14:25 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/4/2021 9:00:33 AM (Review- Construction NOI 67658)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/1/2021 10:15 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 5, 2021 5:00
PM 10/1/2021 10:15 AM
Submit by Selkane, Aziza 10/4/2021 11:46:23 AM (Payment Verification for NCC215510)
* Howard A Jacobson, Esq.
• Selkane, Aziza assigned the task to Selkane, Aziza 10/4/2021 11:45 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 15, 2021 5:00
PM 10/4/2021 9:00 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Sutherland Station
Lot Numbers
(If listed on the eNU)
381-462,522-526
NC Reference No.*
NCG01-2021-5510
Certificate of
NCC215510
Coverage (COC)
No.*
Invoice Date
10/4/2021
Initial Invoice No.
NCC215510-2021
Initial Fee
$ 100.00
Invoice Due Date
11/3/2021
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
10/4/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
f Other
Check Number*
10023
NOI Tracking No.
67658
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2020-Sutherland Station