NCC213257_NOI 53816 Payment Verification_20210601

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 5/27/2021 5:44:23 PM (NCG01 NOI Submission)
Approve by EADS\bcbroussard 5/28/2021 8:10:58 AM (Review- Construction NOI 53816)
• The task was assigned to EADS\bcbroussard by round robin distribution 5/27/2021 5:45 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 31, 2021 5:00 PM
5/27/2021 5:45 PM
Submit by Selkane, Aziza 6/1/2021 12:04:30 PM (Payment Verification for NCC213257)
* Timothy Schreiber
• Selkane, Aziza assigned the task to Selkane, Aziza 6/1/2021 12:03 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 9, 2021 5:00 PM
5/28/2021 8:11 AM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Governors Club - Lot 510
Lot Numbers
(If listed on the eNU)
510
NC Reference No.*
NCG01-2021-3257
Certificate of
NCC213257
Coverage (COC)
No.*
Invoice Date
5/28/2021
Initial Invoice No.
NCC213257-2021
Initial Fee
$ 100.00
Invoice Due Date
6/27/2021
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
6/1 /2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
574940461
Transaction
Number*
NOI Tracking No.
53816
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CHATI-k2021-Governors Club - Lot 510