NCC212258_NOI 50021 Payment Verification_20210421

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/12/2021 10:19:15 AM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 4/14/2021 3:47:19 PM (Review- Construction NOI 50021)
• The task was assigned to Garcia, Lauren V by round robin distribution 4/12/2021 10:20 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 14, 2021 5:00 PM
4/12/2021 10:20 AM
Submit by Selkane, Aziza 4/21/2021 10:18:05 AM (Payment Verification for NCC212258)
* Cynthia Jacobs
• Selkane, Aziza assigned the task to Selkane, Aziza 4/21/2021 10:17 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 26, 2021 5:00 PM
4/14/2021 3:47 PM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Brickstone Subdivision - Lots 13, 28, 29, 30 & 34
Lot Numbers
(If listed on the eNU)
13, 28, 29, 30 & 34
NC Reference No.*
NCG01-2021-2258
Certificate of
NCC212258
Coverage (COC)
No.*
Invoice Date
4/14/2021
Initial Invoice No.
NCC212258-2021
Initial Fee
$ 100.00
Invoice Due Date
5/14/2021
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
4/21 /2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
568918576
Transaction
Number*
NOI Tracking No.
50021
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-JOHNS-2021-Brickstone Subdivision - Lots 13, 28, 29, 30 & 34