NCC210332_NOI 41321 Payment Verification_20210120

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/19/2021 12:03:30 PM (NCG01 NOI Submission)
Approve by Gamble, Aana C 1/19/2021 1:33:04 PM (Review- Construction NO141321)
• The task was assigned to Gamble, Aana C by round robin distribution 1/19/2021 12:04 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 21, 2021 5:00
PM. The priority is: High 1/19/2021 12:04 PM
Submit by Selkane, Aziza 1/20/2021 9:43:36 AM (Payment Verification for NCC210332)
* Cynthia Jacobs
• Selkane, Aziza assigned the task to Selkane, Aziza 1/20/2021 9:42 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 2, 2021 5:00 PM.
The priority is: High 1/19/2021 1:33 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Highcroft Phase 4, Part 1, Section 1 - Lots 278, 279 & 280
NC Reference No.*
NCG01-2021-0332
Certificate of
NCC210332
Coverage (COC)
No. *
Invoice Date
1/19/2021
Initial Invoice No.
NCC210332-2021
Initial Fee
$ 100.00
Invoice Due Date
2/18/2021
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 /20/2021
Received *
(Or, if not received, date rejected for no paynent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
554525216
Transaction
Number*
NOI Tracking No.
41321
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CUMBE-2021-Highcroft Phase 4, Part 1, Section 1 - Lots 278, 279 & 280