NCC215093_NOI 64413 Payment Verification_20210913

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/8/2021 3:30:20 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/9/2021 8:29:40 AM (Review- Construction NOI 64413)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/8/2021 3:31 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 10, 2021 5:00
PM 9/8/2021 3:31 PM
Submit by Miller, Ariyelle L 9/13/2021 3:13:11 PM (Payment Verification for NCC215093)
* Tribute Construction INC
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 9/13/2021 3:12 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 21, 2021 5:00 PM
9/9/2021 8:29 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Tesla Park Apartments
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-5093
Certificate of
NCC215093
Coverage (COC)
No.*
Invoice Date
9/9/2021
Initial Invoice No.
NCC215093-2021
Initial Fee
$ 100.00
Invoice Due Date
10/9/2021
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* IT Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
9/13/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
IT check
f Other
Check Number*
113219
NOI Tracking No.
64413
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-NEW I-1-2021-Testa Park Apartments