NCC221887_NOI 91299 Payment Verification_20220613

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/16/2022 3:20:24 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 5/17/2022 12:15:46 AM (Review - NOI 91299 Beverly Place Ph 3 Lots 156, 188-
210)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 5/16/2022 3:20 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 19, 2022 5:00 PM
5/16/2022 3:20 PM
by Workflow 5/17/2022 12:15:54 AM (Workflow Start Event)
Submit by Selkane, Aziza 6/13/2022 2:21:54 PM (Payment Verification for NCC221887)
F SDH Raleigh, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 6/13/2022 2:20 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 28, 2022 5:00 PM
5/17/2022 12:15 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Beverly Place Ph 3 Lots 156, 188-210
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1887
Certificate of NCC221887
Coverage (COC) No.*
Invoice Date 5/17/2022
Initial Invoice No. NCC221887-2022
Initial Fee $ 100.00
Invoice Due Date 6/16/2022
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 6/13/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 4665
NOI Tracking No. 91299
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JOHNS-2022-Beverly Place Ph 3 Lots 156, 188-210