NCC210190_NOI 40852 Payment Verification_20210121

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/11/2021 11:53:20 AM (NCG01 NOI Submission)
Approve by Gamble, Aana C 1/11/2021 2:50:59 PM (Review- Construction NOI 40852)
• The task was assigned to Gamble, Aana C by round robin distribution 1/11/2021 11:54 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 13, 2021 5:00
PM 1/11/2021 11:54 AM
Submit by Selkane, Aziza 1/21/2021 3:35:27 PM (Payment Verification for NCC210190)
* Swansboro of Jacksonville LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 1/21/2021 3:34 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 22, 2021 5:00
PM 1/11/2021 2:51 PM

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•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Swansboro Tract
NC Reference No.*
NCG01-2021-0190
Certificate of
NCC210190
Coverage (COC)
No. *
Invoice Date
1/11/2021
Initial Invoice No.
NCC210190-2021
Initial Fee
$ 100.00
Invoice Due Date
2/10/2021
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 eNO1 at this step.
Payment Received* r Payment Received.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payme nt
1 /21 /2021
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
Check Number*
1042
NOI Tracking No.
40852
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-ONSLO-2021-Swansboro Tract