NCC214140_NOI 59063 Payment Verification_20210719

Action History (UTC-05:00)Eastern Time(US&Canada)
Subrrit by Anonymous User 7/14/2021 2:36:25 PM(NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/15/2021 8:25:28 AM(Review-Construction NOI 59063)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/14/2021 2:37 PM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 16,2021 5:00 PM
7/14/2021 2:37 PM
Submit by McCoy, Suzanne 7/19/2021 2:11:42 PM(Payment Verification for NCC214140)
* Cafes Building Inc.
• McCoy,Suzanne assigned the task to McCoy, Suzanne 7/19/2021 2:10 PM
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 26, 2021 5:00 PM
7/15/2021 8:25 AM

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Payrmnt Verification
NORTH CAROLINA
Environmental Quvllly
Project Name The Gardens@Cypress Lakes Village Phase 4 Part 1 Lots364-366,455-457&470-
473
Lot Numbers (If listed on the eNOI)
Lots 364-366,455-457&470-473
NC Reference No.* NCG01-2021-4140
Certificate of NCC214140
Coverage (COC)
No.*
Invoice Date 7/15/2021
Initial Invoice No. NCC214140-2021
Initial Fee $ 100.00
Invoice Due Date 8/14/2021
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 eNO1 at this step.
Payment Received* r Payment Received.
r Payment NOT RECEIVED.
Payment Status PAID
Date Payment 7/19/2021
Received* (Or,if not received,date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 39370
NOI Tracking No. 59063
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-CUMBE-2021-The Gardens@Cypress Lakes Village Phase 4 Part 1 Lots364-
366,455-457&470-473