NCC212439_NOI 50624 Payment Verification_20210423

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/20/2021 2:14:23 PM (NCG01 NOI Submission)
Approve by Clark, Paul 4/22/2021 10:17:01 AM (Review- Construction NOI 50624)
* Part B - 1. Organization Name=Winslow Custom Homes, LLC, then No. 8 Type of
Ownership=nongo vernment,
• The task was assigned to Clark, Paul by round robin distribution 4/20/2021 2:15 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 22, 2021 5:00 PM
4/20/2021 2:15 PM
Submit by Selkane, Aziza 4/23/2021 9:28:39 AM (Payment Verification for NCC212439)
* Christopher A Lewis
• Selkane, Aziza assigned the task to Selkane, Aziza 4/23/2021 9:27 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 3, 2021 5:00 PM
4/22/2021 10:17 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Brookshire Subdivision, Phase 2 - Lots 37-43
Lot Numbers
(If listed on the eNU)
Lots 37-43
NC Reference No.*
NCG01-2021-2439
Certificate of
NCC212439
Coverage (COC)
No.*
Invoice Date
4/22/2021
Initial Invoice No.
NCC212439-2021
Initial Fee
$ 100.00
Invoice Due Date
5/22/2021
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* r Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
4/23/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
569238500
Transaction
Number*
NOI Tracking No.
50624
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-FRANK-2021-Brookshire Subdivision, Phase 2 - Lots 37-43