NCC215188_NOI 64784 Payment Verification_20210920

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/14/2021 10:58:52 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/14/2021 11:03:18 AM (Review- Construction NOI 64784)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/14/2021 10:59 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 16, 2021 5:00
PM 9/14/2021 10:59 AM
Submit by McCoy, Suzanne 9/20/2021 2:30:38 PM (Payment Verification for NCC215188)
* C3 Design & Engineering PLLC
• McCoy, Suzanne assigned the task to McCoy, Suzanne 9/20/2021 2:29 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 26, 2021 5:00 PM
9/14/2021 11:03 AM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Holt Farms
Lot Numbers
(IF listed on the eNOI)
1-24
NC Reference No.*
NCG01-2021-5188
Certificate of
NCC215188
Coverage (COC)
No.*
Invoice Date
9/14/2021
Initial Invoice No.
NCC215188-2021
Initial Fee
$ 100.00
Invoice Due Date
10/14/2021
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
9/20/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
IT check
f Other
Check Number*
1492
NOI Tracking No.
64784
Tracking ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-ALAMA-2021-Holt Farms