NCC213459_NOI 54883 Payment Verification_20210614

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/4/2021 12:59:49 PM (NCG01 NOI Submission)
Approve by EADS\bcbroussard 6/7/2021 7:16:20 AM (Review- Construction NOI 54883)
. The task was assigned to EADS\bcbroussard by round robin distribution 6/4/2021 1:00 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 8, 2021 5:00 PM
6/4/2021 1:00 PM
Submit by McCoy, Suzanne 6/14/2021 9:05:20 AM (Payment Verification for NCC213459)
* Allied Land Surveying Co., PA
• McCoy, Suzanne assigned the task to McCoy, Suzanne 6/14/2021 9:04 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 19, 2021 5:00 PM
6/7/2021 7:16 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
David Hickman Brookberry
Lot Numbers
(If listed on the eN0l)
Lots:423,424,426,427,428,429
NC Reference No.*
NCG01-2021-3459
Certificate of
NCC213459
Coverage (COC)
No.*
Invoice Date
6/7/2021
Initial Invoice No.
NCC213459-2021
Initial Fee
$ 100.00
Invoice Due Date
7/7/2021
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
6/14/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
f Other
Check Number*
38110
NOI Tracking No.
54883
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2021-David Hickman Brookberry