NCC210504_NOI 41842 Payment Verification_20210202

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/26/2021 12:21:30 PM (NCG01 NOI Submission)
Approve by Gamble, Aana C 1/27/2021 1:40:23 PM (Review- Construction NOI 41842)
• The task was assigned to Gamble, Aana C by round robin distribution 1/26/2021 12:21 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 28, 2021 5:00
PM 1/26/2021 12:21 PM
Submit by McCoy, Suzanne 2/2/2021 2:56:41 PM (Payment Verification for NCC210504)
* Keystone Group Inc.
• McCoy, Suzanne assigned the task to McCoy, Suzanne 2/2/2021 2:56 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 10, 2021 5:00 PM
1 /27/2021 1:40 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
The Wilcox
NC Reference No.*
NCG01-2021-0504
Certificate of
NCC210504
Coverage (COC)
No. *
Invoice Date
1/27/2021
Initial Invoice No.
NCC210504-2021
Initial Fee
$ 100.00
Invoice Due Date
2/26/2021
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
2/2/2021
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
Check Number*
4932
NOI Tracking No.
41842
TracWng ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-GUILF-2021-The Wilcox