NCC220587_NOI 79559 Payment Verification_20220211

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/28/2022 11:02:14 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/28/2022 11:14:24 AM (Review - NOI 79559 Union Church Road Subdivision)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/28/2022 11:02 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 1, 2022 5:00
PM 1/28/2022 11:02 AM
by Workflow 1/28/2022 11:14:29 AM (Workflow Start Event)
Submit by EADS\aselkane 2/11/2022 10:04:51 AM (Payment Verification for NCC220587)
F Jems Real Estate LLC
• EADS\aselkane assigned the task to EADS\aselkane 2/11/2022 10:04 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 11, 2022 5:00 PM
1/28/2022 11:14 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Union Church Road Subdivision
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2022-0587
Certificate of
NCC220587
Coverage (COC) No.*
Invoice Date
1/28/2022
Initial Invoice No.
NCC220587-2022
Initial Fee
$ 100.00
Invoice Due Date
2/27/2022
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
2/11/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
1054
NOI Tracking No.
79559
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-LINCO-2022-Union Church Road Subdivision