NCC214295_NOI 59876 Payment Verification_20210729

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/26/2021 10:14:00 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/26/2021 10:29:49 AM (Review- Construction NOI 59876)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/26/2021 10:15 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 28, 2021 5:00 PM
7/26/2021 10:15 AM
Submit by Selkane, Aziza 7/29/2021 4:10:53 PM (Payment Verification for NCC214295)
* R & S Investments of WNC, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 7/29/2021 4:08 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 6, 2021 5:00
PM 7/26/2021 10:30 AM

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NORTH CAROLINA
Environmental Quvllty
Project Name Rolling Hills of French Broad -Phase 2
Lot Numbers (If listed on the eND)
28-36, 53, 54
NC Reference No.* NCG01-2021-4295
Certificate of NCC214295
Coverage (COC)
No.*
Invoice Date 7/26/2021
Initial Invoice No. NCC214295-2021
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* r Payment Received.
f Payment NOT RECEIVED.
Payment Status PAID
Date Payment 7/29/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 3909
NOI Tracking No. 59876
TracWng ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-BUNCO-2021-Rolling Hills of French Broad -Phase 2