NCC214557_NOI 61763 Payment Verification_20210817

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/9/2021 5:08:39 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/10/2021 8:23:49 AM (Review- Construction NOI 61763)
. The task was assigned to Broussard, Brooklyn C by round robin distribution 8/9/2021 5:09 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 11, 2021 5:00
PM 8/9/2021 5:09 PM
Submit by Selkane, Aziza 8/17/2021 1:22:33 PM (Payment Verification for NCC214557)
* LlomelInc.
• Selkane, Aziza assigned the task to Selkane, Aziza 8/17/2021 1:21 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 21, 2021 5:00
PM 8/10/2021 8:24 AM

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NORTH CAROLINA
Environmental Quvllty
Project Name Bell Fork Shops
Lot Numbers (If listed on the eN0l)
N/A
NC Reference No.* NCG01-2021-4557
Certificate of NCC214557
Coverage (COC)
No.*
Invoice Date 8/10/2021
Initial Invoice No. NCC214557-2021
Initial Fee $ 100.00
Invoice Due Date 9/9/2021
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 8/17/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 2140001628
NOI Tracking No. 61763
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-ONSLO-2021-Bell Fork Shops