NCC213931_NOI 58181 Payment Verification_20210706

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/1/2021 11:54:53 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/2/2021 7:12:54 AM (Review- Construction NOI 58181)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/1/2021 11:56 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 5, 2021 5:00 PM
7/1/2021 11:56 AM
Submit by Selkane, Aziza 7/6/2021 1:50:54 PM (Payment Verification for NCC213931)
* Darren Burke
• Selkane, Aziza assigned the task to Selkane, Aziza 7/6/2021 1:49 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 13, 2021 5:00 PM
7/2/2021 7:13 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Lot 384 Brookberry Farm
Lot Numbers
(If listed on the eN0l)
Lot 384 Brookberry Farm
NC Reference No.*
NCG01-2021-3931
Certificate of
NCC213931
Coverage (COC)
No.*
Invoice Date
7/2/2021
Initial Invoice No.
NCC213931-2021
Initial Fee
$ 100.00
Invoice Due Date
8/1/2021
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
7/6/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
f Other
Check Number*
11893
NOI Tracking No.
58181
TracWng ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2021-Lot 384 Brookberry Farm