NCC205200_NOI 35865 Payment Verification_20210111

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/12/2020 9:37:19 AM (NCG01 NOI Submission)
Approve by Gamble, Aana C 11/12/2020 12:50:43 PM (Review- Construction NOI 35865)
• Garcia, Lauren V reassigned the task to Gamble, Aana C 11/12/2020 12:40 PM
• The task was assigned to Garcia, Lauren V by round robin distribution 11/12/2020 9:37 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 16, 2020 5:00
PM 11/12/2020 9:37 AM
Submit by Selkane, Aziza 1/11/2021 8:25:49 AM (Payment Verification for NCC205200)
* Live Oak Crossroads LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 1/11/2021 8:25 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 24, 2020 5:00
PM 11/12/2020 12:51 PM

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•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Crossroads at Independence
NC Reference No.*
NCG01-2020-5200
Certificate of
NCC205200
Coverage (COC)
No. *
Invoice Date
11/12/2020
Initial Invoice No.
NCC205200-2020
Initial Fee
$ 100.00
Invoice Due Date
12/12/2020
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 /11 /2021
Received *
(Or, if not received, date rejected for no paynent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
552757899
Transaction
Number*
NOI Tracking No.
35865
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-NEW I-1-2020-Crossroads at Independence