NCC213678_NOI 56684 Payment Verification_20210618

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/16/2021 10:13:11 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/17/2021 10:18:13 AM (Review- Construction NOI 56684)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/16/2021 10:14 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 18, 2021 5:00 PM
6/16/2021 10:14 PM
Submit by Selkane, Aziza 6/18/2021 7:29:54 AM (Payment Verification for NCC213678)
* Benjamin Taylor
• Selkane, Aziza assigned the task to Selkane, Aziza 6/18/2021 7:29 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 29, 2021 5:00 PM
6/17/2021 10:18 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envtro me tufQuuftty
Project Name
Parkside Crossing Phase 1
Lot Numbers
(If listed on the eN0l)
1-230
NC Reference No.*
NCG01-2021-3678
Certificate of
NCC213678
Coverage (COC)
No.*
Invoice Date
6/17/2021
Initial Invoice No.
NCC213678-2021
Initial Fee
$ 100.00
Invoice Due Date
7/17/2021
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.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
6/18/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r Other
ePayment
577978522
Transaction
Number*
NOI Tracking No.
56684
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MECKL-2021-Parkside Crossing Phase 1