NCC213261_NOI 53731 Payment Verification_20210601

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 5/27/2021 11:53:16 AM (NCG01 NOI Submission)
Approve by EADS\bcbroussard 5/28/2021 9:07:56 AM (Review- Construction NOI 53731)
• Morman, Alaina reassigned the task to EADS\bcbroussard 5/27/2021 2:23 PM
• The task was assigned to Clark, Paul B by round robin distribution 5/27/2021 11:54 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 31, 2021 5:00 PM
5/27/2021 11:54 AM
Submit by Selkane, Aziza 6/1/2021 12:10:28 PM (Payment Verification for NCC213261)
* Whitney Gifford
• Selkane, Aziza assigned the task to Selkane, Aziza 6/1/2021 12:09 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 9, 2021 5:00 PM
5/28/2021 9:08 AM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Tanglewood Forest - Lots 2, 5, 7 and 12-17
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-3261
Certificate of
NCC213261
Coverage (COC)
No.*
Invoice Date
5/28/2021
Initial Invoice No.
NCC213261-2021
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* IT 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*
IT electronic
f check
f Other
ePayment
574954922
Transaction
Number*
NOI Tracking No.
53731
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2021-Tanglewood Forest - Lots 2, 5, 7 and 12-17