NCC214131_NOI 59012 Payment Verification_20210714

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/14/2021 10:33:54 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/14/2021 10:51:45 AM (Review- Construction NOI 59012)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/14/2021 10:34 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 16, 2021 5:00 PM
7/14/2021 10:34 AM
Submit by McCoy, Suzanne 7/14/2021 10:55:36 AM (Payment Verification for NCC214131)
* VSD dba Union Construction
• McCoy, Suzanne assigned the task to McCoy, Suzanne 7/14/2021 10:55 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 25, 2021 5:00 PM
7/14/2021 10:52 AM

�.• �,+STA7E o�
NORTH CAROLINA
Environmental Quvllty
Project Name ANSON RV & CAMPGROUND
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-4131
Certificate of NCC214131
Coverage (COC)
No.*
Invoice Date 7/14/2021
Initial Invoice No. NCC214131-2021
Initial Fee $ 100.00
Invoice Due Date 8/13/2021
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 7/14/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 8929
NOI Tracking No. 59012
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-ANSON-2021-ANSON RV & CAMPGROUND