NCC213590_NOI 55400 Payment Verification_20210621

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/11/2021 11:39:55 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/11/2021 11:50:20 AM (Review- Construction NOI 55400)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/11/2021 11:41 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 15, 2021 5:00 PM
6/11/2021 11:41 AM
Submit by McCoy, Suzanne 6/21/2021 2:52:51 PM (Payment Verification for NCC213590)
* Beaver Creek Investors Inc.
• McCoy, Suzanne assigned the task to McCoy, Suzanne 6/21/2021 2:52 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 23, 2021 5:00 PM
6/11/2021 11:51 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Gould Farms
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-3590
Certificate of
NCC213590
Coverage (COC)
No.*
Invoice Date
6/11/2021
Initial Invoice No.
NCC213590-2021
Initial Fee
$ 100.00
Invoice Due Date
7/11/2021
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* r Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
6/21 /2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
f Other
Check Number*
1237
NOI Tracking No.
55400
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-ONSLO-2021-Gould Farms