NCC214028_NOI 58586 Payment Verification_20210712

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/8/2021 11:09:10 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/8/2021 11:19:06 AM (Review- Construction NOI 58586)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/8/2021 11:09 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 12, 2021 5:00 PM.
The priority is: High 7/8/2021 11:09 AM
Submit by McCoy, Suzanne 7/12/2021 2:17:40 PM (Payment Verification for NCC214028)
* North Carolina Custom Modulars LLC
• McCoy, Suzanne assigned the task to McCoy, Suzanne 7/12/2021 2:16 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 19, 2021 5:00 PM.
The priority is: High 7/8/2021 11:19 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Lake Falls Lot 154
Lot Numbers
(If listed on the eN0l)
Lake Falls Lot 154
NC Reference No.*
NCG01-2021-4028
Certificate of
NCC214028
Coverage (COC)
No.*
Invoice Date
7/8/2021
Initial Invoice No.
NCC214028-2021
Initial Fee
$ 100.00
Invoice Due Date
8/7/2021
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
7/12/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
f Other
Check Number*
3603
NOI Tracking No.
58586
Tracking ID referenced upon subrrittal
This is an Express
f No
Review Project
r Yes
Project Tracking ID
NCC-CHATFi-2021-Lake Falls Lot 154