NCC214286_NOI 59805 Payment Verification_20210726

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/23/2021 2:36:40 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/26/2021 7:49:14 AM (Review- Construction NOI 59805)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/23/2021 2:37 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 27, 2021 5:00 PM
7/23/2021 2:37 PM
Submit by Selkane, Aziza 7/26/2021 12:57:43 PM (Payment Verification for NCC214286)
* Kevin S Caldwell
• Selkane, Aziza assigned the task to Selkane, Aziza 7/26/2021 12:57 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 6, 2021 5:00
PM 7/26/2021 7:49 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Antiquity MOB
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-4286
Certificate of
NCC214286
Coverage (COC)
No.*
Invoice Date
7/26/2021
Initial Invoice No.
NCC214286-2021
Initial Fee
$ 100.00
Invoice Due Date
8/25/2021
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* IT Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
7/26/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
584305342
Transaction
Number*
NOI Tracking No.
59805
TracWng ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-MECKL-2021-Antiquity MOB