NCC217169_NOI 76506 Payment Verification_20220103

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/23/2021 11:52:07 AM (NCG01 NOI Submission)
Approve by Clark, Paul B 12/30/2021 9:06:27 AM (Review - Construction NOI 76506)
• Georgoulias, Bethany A reassigned the task to Clark, Paul B 12/28/2021 3:22 PM
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/23/2021 11:52 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 27, 2021 5:00
PM 12/23/2021 11:52 AM
Submit by Selkane, Aziza 1/3/2022 9:51:36 AM (Payment Verification for NCC217169)
P Dirt2Dreams, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 1/3/2022 9:50 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 10, 2022 5:00 PM
12/30/2021 9:06 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Amphitheater Road Project
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-7169
Certificate of NCC217169
Coverage (COC) No.*
Invoice Date 12/30/2021
Initial Invoice No. NCC217169-2021
Initial Fee $ 100.00
Invoice Due Date 1/29/2022
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 1/3/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 610501245
Transaction Number*
NOI Tracking No. 76506
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CARTE-2021-Amphitheater Road Project