NCC210026_NOI 39989 Payment Verification_20210107

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/30/2020 9:48:40 PM (NCG01 NOI Submission)
Approve by Gamble, Aana C 1/5/2021 9:02:18 AM (Review- Construction NOI 39989)
• Georgoulias, Bethany reassigned the task to Gamble, Aana C 1/4/2021 10:26 AM
* Reassigned from Annette's queue.
• The task was assigned to Lucas, Annette by round robin distribution 12/30/2020 9:49 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 1, 2021 5:00
PM 12/30/2020 9:49 PM
Submit by Selkane, Aziza 1/7/2021 7:03:53 AM (Payment Verification for NCC210026)
* Rouse Builders, Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 1/7/2021 7:03 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 16, 2021 5:00
PM 1 /5/2021 9:03 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
1131 Kendrick Road, LLC
NC Reference No.*
NCG01-2021-0026
Certificate of
NCC210026
Coverage (COC)
No. *
Invoice Date
1/5/2021
Initial Invoice No.
NCC210026-2021
Initial Fee
$ 100.00
Invoice Due Date
2/4/2021
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 eNO1 at this step.
Payment Received* r Payment Received.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payme nt
1 /7/2021
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
Check Number*
8725
NOI Tracking No.
39989
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-GASTO-2021-1131 Kendrick Road, LLC