NCC213420_NOI 54736 Payment Verification_20210607

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/3/2021 11:48:37 AM (NCG01 NOI Submission)
Approve by EADS\bcbroussard 6/4/2021 7:50:29 AM (Review- Construction NOI 54736)
• The task was assigned to EADS\bcbroussard by round robin distribution 6/3/2021 11:49 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 7, 2021 5:00 PM
6/3/2021 11:49 AM
Submit by Selkane, Aziza 6/7/2021 8:45:26 AM (Payment Verification for NCC213420)
* Timothy Schreiber
• Selkane, Aziza assigned the task to Selkane, Aziza 6/7/2021 8:42 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 16, 2021 5:00 PM
6/4/2021 7:51 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Governors Club - Lot 534
Lot Numbers
(If listed on the eNU)
534
NC Reference No.*
NCG01-2021-3420
Certificate of
NCC213420
Coverage (COC)
No.*
Invoice Date
6/4/2021
Initial Invoice No.
NCC213420-2021
Initial Fee
$ 100.00
Invoice Due Date
7/4/2021
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
6/7/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
575998883
Transaction
Number*
NOI Tracking No.
54736
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CHATI-k2021-Governors Club - Lot 534