NCC211369_NOI 46144 Payment Verification_20210312

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 3/3/2021 2:45:30 PM (NCG01 NOI Submission)
Approve by Gamble, Aana C 3/5/2021 6:10:55 PM (Review- Construction NOI 46144)
• Clark, Paul reassigned the task to Gamble, Aana C 3/4/2021 2:25 PM
* thx
• The task was assigned to Clark, Paul by round robin distribution 3/3/2021 2:46 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 5, 2021 5:00 PM
3/3/2021 2:46 PM
Subnut by Selkane, Aziza 3/12/2021 6:55:48 AM (Payment Verification for NCC211369)
* South Creek Construction Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 3/12/2021 6:55 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 16, 2021 5:00 PM
3/5/2021 6:11 PM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Sam Furr Senior Apartments
Lot Numbers
(If listed on the eN0l)
8521 Sam Furr Rd
Huntersville, NC 28078
NC Reference No.*
NCG01-2021-1369
Certificate of
NCC211369
Coverage (COC)
No.*
Invoice Date
3/5/2021
Initial Invoice No.
NCC211369-2021
Initial Fee
$ 100.00
Invoice Due Date
4/4/2021
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 Payment
3/12/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
f Other
Check Number*
610549
NOI Tracking No.
46144
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MECKL-2021-Sam Furr Senior Apartments