NCC215874_NOI 69201 Payment Verification_20211027

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/20/2021 10:55:28 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/21/2021 7:02:43 AM (Review - Construction NOI 69201)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/20/2021 10:55 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 22, 2021 5:00
PM 10/20/2021 10:55 AM
Submit by Selkane, Aziza 10/27/2021 2:17:37 PM (Payment Verification for NCC215874)
F Beaver Creek Investors, Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 10/27/2021 2:16 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 2, 2021 5:00 PM
10/21/2021 7:03 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Justice Ridge
Lot Numbers
(If listed on the eNOI)
44
NC Reference No.*
NCG01-2021-5874
Certificate of
NCC215874
Coverage (COC) No.*
Invoice Date
10/21/2021
Initial Invoice No.
NCC215874-2021
Initial Fee
$ 100.00
Invoice Due Date
11/20/2021
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
10/27/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
3641
NOI Tracking No.
69201
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ONSLO-2021-Justice Ridge