NCC215785_NOI 68822 Payment Verification_20211019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/15/2021 8:27:38 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/15/2021 9:37:21 AM (Review - Construction NOI 68822)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/15/2021 8:27 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 19, 2021 5:00
PM 10/15/2021 8:27 AM
Submit by Selkane, Aziza 10/19/2021 1:21:10 PM (Payment Verification for NCC215785)
F Benjamin Stout Real Estate Services, Inc.
• Selkane, Aziza assigned the task to Selkane, Aziza 10/19/2021 1:20 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 26, 2021 5:00
PM 10/15/2021 9:37 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Shelton Beard Road - Lots 1, 2, 5, 6, 7, 8, 7C1, 7C2 & 7C3
Lot Numbers
(If listed on the eNOI)
Lots 1, 2, 5, 6, 7, 8, 7C1, 7C2 & 7C3
NC Reference No.*
NCG01-2021-5785
Certificate of
NCC215785
Coverage (COC) No.*
Invoice Date
10/15/2021
Initial Invoice No.
NCC215785-2021
Initial Fee
$ 100.00
Invoice Due Date
11/14/2021
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*
• Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
10/19/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
2105
NOI Tracking No.
68822
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CUMBE-2021-Shelton Beard Road - Lots 1, 2, 5, 6, 7, 8, 7C1, 7C2 & 7C3