NCC213403_NOI 54691 Payment Verification_20210604

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/3/2021 8:20:48 AM (NCG01 NOI Submission)
Approve by EADS\bcbroussard 6/3/2021 11:21:44 AM (Review- Construction NOI 54691)
. The task was assigned to EADS\bcbroussard by round robin distribution 6/3/2021 8:21 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 7, 2021 5:00 PM.
The priority is: High 6/3/2021 8:21 AM
Submit by Selkane, Aziza 6/4/2021 10:12:06 AM (Payment Verification for NCC213403)
* James Lester Collins
• Selkane, Aziza assigned the task to Selkane, Aziza 6/4/2021 10:11 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 15, 2021 5:00 PM. The
priority is: High 6/3/2021 11:22 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Shamrock Valley Phase 4
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-3403
Certificate of
NCC213403
Coverage (COC)
No.*
Invoice Date
6/3/2021
Initial Invoice No.
NCC213403-2021
Initial Fee
$ 100.00
Invoice Due Date
7/3/2021
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
6/4/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
575853128
Transaction
Number*
NOI Tracking No.
54691
Tracking ID referenced upon subrrittal
This is an Express
f No
Review Project
r Yes
Project Tracking ID
NCC-ALAMA-2021-Shamrock Valley Phase 4