NCC214632_NOI 62030 Payment Verification_20210816

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/12/2021 12:03:19 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/16/2021 7:21:49 AM (Review- Construction NOI 62030)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/12/2021 12:04 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 16, 2021 5:00
PM 8/12/2021 12:04 PM
Submit by Selkane, Aziza 8/16/2021 10:17:36 AM (Payment Verification for NCC214632)
* John M Bell
• Selkane, Aziza assigned the task to Selkane, Aziza 8/16/2021 10:17 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 27, 2021 5:00
PM 8/16/2021 7:22 AM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Westover Village - Residence Inn (2020-1842)
Lot Numbers
(IF listed on the eNOI)
Lot 1 B (P.B. 205, PG. 124)
NC Reference No.*
NCG01-2021-4632
Certificate of
NCC214632
Coverage (COC)
No.*
Invoice Date
8/16/2021
Initial Invoice No.
NCC214632-2021
Initial Fee
$ 100.00
Invoice Due Date
9/15/2021
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
8/16/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
588023533
Transaction
Number*
NOI Tracking No.
62030
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-GUILF-2021-Westover Village - Residence Inn (2020-1842)