NCC214135_NOI 59025 Payment Verification_20210729

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/14/2021 11:27:12 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/14/2021 11:32:07 AM (Review- Construction NOI 59025)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/14/2021 11:27 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 16, 2021 5:00 PM
7/14/2021 11:27 AM
Submit by Selkane, Aziza 7/29/2021 4:17:51 PM (Payment Verification for NCC214135)
* HC Charlotte S End LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 7/29/2021 4:17 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 25, 2021 5:00 PM
7/14/2021 11:32 AM

�.• �,+STA7E o�
NORTH CAROLINA
Environmental Quvllty
Project Name 1415 S. Church Street
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-4135
Certificate of NCC214135
Coverage (COC)
No.*
Invoice Date 7/14/2021
Initial Invoice No. NCC214135-2021
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 7/29/2021
Received* (Or, if not received, date rejected for no payment)
Method of Payment* r electronic
r check
f Other
Check Number* 69
NOI Tracking No. 59025
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-MECKL-2021-1415 S. Church Street