NCC216526_NOI 73520 Payment Verification_20211208

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/18/2021 2:32:29 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/19/2021 7:20:51 AM (Review - Construction NOI 73520)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/18/2021 2:33 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 22, 2021 5:00
PM. The priority is: High 11/18/2021 2:33 PM
Submit by Selkane, Aziza 12/8/2021 2:52:29 PM (Payment Verification for NCC216526)
F Century Complete used check # 37004 for $62.50 and check # 37006 for $37.5 to pay for COC #
216526
• Selkane, Aziza assigned the task to Selkane, Aziza 12/8/2021 2:47 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 31, 2021 5:00 PM.
The priority is: High 11/19/2021 7:21 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Williams Grove Phase 2
Lot Numbers
(If listed on the eNOI)
Lots 20-35
NC Reference No.*
NCG01-2021-6526
Certificate of
NCC216526
Coverage (COC) No.*
Invoice Date
11/19/2021
Initial Invoice No.
NCC216526-2021
Initial Fee
$ 100.00
Invoice Due Date
12/19/2021
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
12/8/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
37004 + 37006
NOI Tracking No.
73520
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-NASH-2021-Williams Grove Phase 2