NCC212104_NOI 49693 Payment Verification_20210408

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/6/2021 10:01:26 AM (NCG01 NOI Submission)
Approve by Meloy, Michael 4/7/2021 8:08:13 AM (Review- Construction NOI 49693)
• The task was assigned to Meloy, Michael by round robin distribution 4/6/2021 10:01 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 8, 2021 5:00 PM
4/6/2021 10:01 AM
Submit by Selkane, Aziza 4/8/2021 8:13:49 AM (Payment Verification for NCC212104)
* G.W.B. Construction LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 4/8/2021 8:12 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 19, 2021 5:00 PM
4/7/2021 8:08 AM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Tim & Lisa Morris 121 Brookfield Drive
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-2104
Certificate of
NCC212104
Coverage (COC)
No.*
Invoice Date
4/7/2021
Initial Invoice No.
NCC212104-2021
Initial Fee
$ 100.00
Invoice Due Date
5/7/2021
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
4/8/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
566787961
Transaction
Number*
NOI Tracking No.
49693
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MOORE-2021 -Tim& Lisa Morris 121 Brookfield Drive