NCC213765_NOI 56980 Payment Verification_20210630

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/22/2021 2:07:43 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/23/2021 7:28:00 AM (Review- Construction NOI 56980)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/22/2021 2:09 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 24, 2021 5:00 PM
6/22/2021 2:09 PM
Submit by Selkane, Aziza 6/30/2021 8:11:16 AM (Payment Verification for NCC213765)
* Rowland Anderson
• Selkane, Aziza assigned the task to Selkane, Aziza 6/30/2021 8:09 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 4, 2021 5:00 PM
6/23/2021 7:28 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Gladstone Phase 1
Lot Numbers
(If listed on the eNU)
Lots 1-26
NC Reference No.*
NCG01-2021-3765
Certificate of
NCC213765
Coverage (COC)
No.*
Invoice Date
6/23/2021
Initial Invoice No.
NCC213765-2021
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
6/30/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
579673239
Transaction
Number*
NOI Tracking No.
56980
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2021-Gladstone Phase 1