NCC214983_NOI 63896 Payment Verification_20210907

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/31/2021 9:31:23 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/1/2021 11:10:19 AM (Review- Construction NOI 63896)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/31/2021 9:31 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 2, 2021 5:00
PM 8/31/2021 9:31 PM
Submit by Selkane, Aziza 9/7/2021 2:52:26 PM (Payment Verification for NCC214983)
* U.S. 21 Holding Company LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 9/7/2021 2:51 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 13, 2021 5:00 PM
9/1/2021 11:10 AM

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NORTH CAROLINA
Environmental Quvllty
Project Name US 21 Holding Company
Lot Numbers (If listed on the eND)
8431 Statesville Road
NC Reference No.* NCG01-2021-4983
Certificate of NCC214983
Coverage (COC)
No.*
Invoice Date 9/1/2021
Initial Invoice No. NCC214983-2021
Initial Fee $ 100.00
Invoice Due Date 10/1/2021
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 9/7/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 2029
NOI Tracking No. 63896
TracWng ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-MECKL-2021-US 21 Holding Company