NCC215217_NOI 64896 Payment Verification_20210927

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/15/2021 11:44:49 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/16/2021 7:12:24 AM (Review- Construction NOI 64896)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/15/2021 11:45 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 17, 2021 5:00
PM 9/15/2021 11:45 AM
Submit by Selkane, Aziza 9/27/2021 2:18:16 PM (Payment Verification for NCC215217)
* Benjamin Stout Real Estate Services, Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 9/27/2021 2:17 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 28, 2021 5:00 PM
9/16/2021 7:12 AM

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NORTH CAROLINA
Environmental Quvllty
Project Name Tyson's Corner Lots 1A, 1, and 2
Lot Numbers (If listed on the eN0l)
Lots 1A, 1, and 2
NC Reference No.* NCG01-2021-5217
Certificate of NCC215217
Coverage (COC)
No.*
Invoice Date 9/16/2021
Initial Invoice No. NCC215217-2021
Initial Fee $ 100.00
Invoice Due Date 10/16/2021
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 9/27/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 2101
NOI Tracking No. 64896
TracWng ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-CUMBE-2021-Tyson's Corner Lots 1A, 1, and 2