NCC213804_NOI 57141 Payment Verification_20210625

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/24/2021 8:32:23 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/24/2021 8:52:52 AM (Review- Construction NOI 57141)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/24/2021 8:32 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 28, 2021 5:00 PM
6/24/2021 8:32 AM
Submit by Selkane, Aziza 6/25/2021 8:17:42 AM (Payment Verification for NCC213804)
* Matt McKenzie
• Selkane, Aziza assigned the task to Selkane, Aziza 6/25/2021 8:16 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 5, 2021 5:00 PM
6/24/2021 8:53 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envtro me tufQuuftty
Project Name
Dairymont
Lot Numbers
(If listed on the eN0l)
Al, A3, B4
NC Reference No.*
NCG25-2021-3804
Certificate of
NCC213804
Coverage (COC)
No.*
Invoice Date
6/24/2021
Initial Invoice No.
NCC213804-2021
Initial Fee
$ 100.00
Invoice Due Date
7/24/2021
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 Payme nt
6/25/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r Other
ePayment
578996656
Transaction
Number*
NOI Tracking No.
57141
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CHATI-1-2021-Dairymont