NCC212603_NOI 51090 Payment Verification_20210430

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/27/2021 8:35:00 AM (NCG01 NOI Submission)
Approve by Clark, Paul B 4/29/2021 10:47:08 AM (Review- Construction NOI 51090)
• Gamble, Aana C reassigned the task to Clark, Paul B 4/27/2021 10:31 AM
• The task was assigned to Gamble, Aana C by round robin distribution 4/27/2021 8:35 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 29, 2021 5:00 PM
4/27/2021 8:35 AM
Submit by Selkane, Aziza 4/30/2021 8:42:38 AM (Payment Verification for NCC212603)
* Robert Gilbertson
• Selkane, Aziza assigned the task to Selkane, Aziza 4/30/2021 8:41 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 10, 2021 5:00 PM
4/29/2021 10:47 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
NCC-GASTO-2021-Future Force LLC
Lot Numbers
(If listed on the eNU)
Tract # 2
NC Reference No.*
NCG01-2021-2603
Certificate of
NCC212603
Coverage (COC)
No.*
Invoice Date
4/29/2021
Initial Invoice No.
NCC212603-2021
Initial Fee
$ 100.00
Invoice Due Date
5/29/2021
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
4/30/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
570255424
Transaction
Number*
NOI Tracking No.
51090
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-GASTO-2021-NCC-GASTO-2021-Future Force LLC