NCC213695_NOI 56750 Payment Verification_20210621

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/17/2021 5:00:46 PM (NCGO1 NOI Submission)
App— by Broussard, Brooklyn C 6/18/2021 8:24:30 AM (Review - Construction NOI 56750)
* The task was assigned to Broussard, Brooklyn C by round robin distribution 6/17/2021 5:01 PM
The task was assigned to DEMLR NCGO1 NOI Review Team. The due date is: June 21, 2021 5:00 PM
6/17/2021 5:01 PM
Submit by Selkane, Aziza 6/21/2021 8:57:24 AM (Payment Verification for NCC2113695)
p Athan Parker
* Selkane, Azjza assigned the task to Selkane, Azjza 6/21/2021 8:56 AM
The task was assigned to DEMLR NCGOII Payment Team. The due date is: July 30, 2021 5:00 PM
6/18/2021 8:25 AM

Payrmnt Verification
NORTH CAROLINA
Enyirmm�tal QualIfy
Project Name
Archer's Park Subdivision
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCGOl-2021-3695
Certificate of
NCC213695
Coverage (COC)
No. *
Invoice Date
6/18/2021
Initial Invoice No.
NCC213695-2021
Initial Fee
$ 100.00
Invoice Due Date
7/18/2021
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.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
6/21/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
r check
r Other
ePayment
578135572
Transaction
Number*
NOI Tracking No.
56750
Tracking ID referenced upon subrytal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-JOHNS-2021 -Archer's Park Subdivision