NCC215614_NOI 68171 Payment Verification_20211011

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/7/2021 12:05:24 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/8/2021 9:11:24 AM (Review- Construction NOI 68171)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/7/2021 12:06 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 11, 2021 5:00
PM 10/7/2021 12:06 PM
Submit by Evans, Shaundra M 10/11/2021 9:32:10 AM (Payment Verification for NCC215614)
* BSC Holdings Inc
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/11/2021 9:31 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 19, 2021 5:00
PM 10/8/2021 9:11 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Vernon Farms Phase 3, Sect. 1, Tract 1 &2.
Lot Numbers
(IF listed on the eNOI)
270-319
NC Reference No.*
NCG01-2021-5614
Certificate of
NCC215614
Coverage (COC)
No.*
Invoice Date
10/8/2021
Initial Invoice No.
NCC215614-2021
Initial Fee
$ 100.00
Invoice Due Date
11/7/2021
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
10/11/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
596747240
Transaction
Number*
NOI Tracking No.
68171
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-GUILF-2021-Vernon Farms Phase 3, Sect. 1, Tract 1&2.