NCC213768_NOI 57003 Payment Verification_20210624

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/22/2021 3:22:09 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/23/2021 7:58:04 AM (Review- Construction NOI 57003)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/22/2021 3:24 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 24, 2021 5:00 PM
6/22/2021 3:24 PM
Submit by Selkane, Aziza 6/24/2021 9:02:16 AM (Payment Verification for NCC213768)
* Sharon Stewart
• Selkane, Aziza assigned the task to Selkane, Aziza 6/24/2021 9:01 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 4, 2021 5:00 PM
6/23/2021 7:58 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Forest lake RV Park Expansion
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-3768
Certificate of
NCC213768
Coverage (COC)
No.*
Invoice Date
6/23/2021
Initial Invoice No.
NCC213768-2021
Initial Fee
$ 100.00
Invoice Due Date
7/23/2021
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
6/24/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
578854081
Transaction
Number*
NOI Tracking No.
57003
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-DAVIE-2021-Forest lake RV Park Expansion