NCC192115_Payment Verification_20191003

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/26/2019 4:16:28 PM (NCG01 NOI Submission)
Approve by Clark, Paul 10/1/2019 12:02:08 PM (Review- Construction NOI 16371)
• The task was assigned to Clark, Paul by round robin distribution 9/26/2019 4:16 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 30, 2019 5:00
PM 9/26/2019 4:16 PM
Submit by EADS\smccoy2 10/3/2019 1:02:17 PM (Payment Verification for NCC192115)
* Hartman Road Developing LLC
• EADS\smccoy2 assigned the task to EADS\smccoy2 10/3/2019 1:01 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 12, 2019 5:00
PM 10/1/2019 12:02 PM

NORTH CAROLINA
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Project Tracking ID*
NCC-DAVID-2019-Sycamore Place
NC Reference No.*
NCG01-2019-2115
Certificate of
NCC192115
Coverage (COC)
No. *
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.
Date Payment
10/3/2019
Received*
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
Check Number*
1005
NOI Tracking No.
16371
Tracking ID referenced upon suba ttal
This is an Express
r No
Review Project
r Yes