NCC215347_NOI 66545 Payment Verification_20211008

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/27/2021 10:49:18 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/27/2021 11:17:24 AM (Review- Construction NOI 66545)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/27/2021 10:49 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 29, 2021 5:00
PM. The priority is: High 9/27/2021 10:49 AM
Submit by Evans, Shaundra M 10/8/2021 9:03:36 AM (Payment Verification for NCC215347)
* Robin Riddle
• Evans, Shaundra M assigned the task to Evans, Shaundra M 10/8/2021 9:03 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 8, 2021 5:00 PM.
The priority is: High 9/27/2021 11:17 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Perendale Holdings, LLC
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-5347
Certificate of
NCC215347
Coverage (COC)
No.*
Invoice Date
9/27/2021
Initial Invoice No.
NCC215347-2021
Initial Fee
$ 100.00
Invoice Due Date
10/27/2021
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
10/8/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
596581165
Transaction
Number*
NOI Tracking No.
66545
Tracking ID referenced upon subrrittal
This is an Express
f No
Review Project
r Yes
Project Tracking ID
NCC-DAVIE-2021-Perendale Holdings, LLC