NCC213577_NOI 55373 Payment Verification_20210621

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/11/2021 9:27:49 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/11/2021 9:35:01 AM (Review- Construction NOI 55373)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/11/2021 9:29 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 15, 2021 5:00 PM.
The priority is: High 6/11/2021 9:29 AM
Submit by McCoy, Suzanne 6/21/2021 2:51:23 PM (Payment Verification for NCC213577)
* Beaver Creek Investors
• McCoy, Suzanne assigned the task to McCoy, Suzanne 6/21/2021 2:50 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 23, 2021 5:00 PM. The
priority is: High 6/11/2021 9:35 AM

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NORTH CAROLINA
Environmental Quvllty
Project Name Justice Ridge Subdivision
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-3577
Certificate of NCC213577
Coverage (COC)
No.*
Invoice Date 6/11/2021
Initial Invoice No. NCC213577-2021
Initial Fee $ 100.00
Invoice Due Date 7/11/2021
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 6/21 /2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 3605
NOI Tracking No. 55373
TracWng ID referenced upon subrrittal
This is an Express f No
Review Project r Yes
Project Tracking ID NCC-ONSLO-2021-Justice Ridge Subdivision