NCC216440_NOI 73186 Payment Verification_20211122

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/15/2021 2:05:30 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/16/2021 10:20:44 AM (Review - Construction NOI 73186)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/15/2021 2:06 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 17, 2021 5:00
PM 11/15/2021 2:06 PM
Submit by Selkane, Aziza 11/22/2021 10:47:20 AM (Payment Verification for NCC216440)
F Design Associates
• Selkane, Aziza assigned the task to Selkane, Aziza 11/22/2021 10:46 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 28, 2021 5:00
PM 11/16/2021 10:21 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
C&B Toothland
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2021-6440
Certificate of
NCC216440
Coverage (COC) No.*
Invoice Date
11/16/2021
Initial Invoice No.
NCC216440-2021
Initial Fee
$ 100.00
Invoice Due Date
12/16/2021
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*
Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
11/22/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
13356
NOI Tracking No.
73186
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-BUNCO-2021-C&B Toothland