NCC213192_NOI 53419 Payment Verification_20210602

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 5/24/2021 11:29:25 AM (NCG01 NOI Submission)
Approve by Clark, Paul B 5/26/2021 9:17:54 AM (Review- Construction NOI 53419)
• The task was assigned to Clark, Paul B by round robin distribution 5/24/2021 11:30 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 26, 2021 5:00 PM
5/24/2021 11:30 AM
Submit by McCoy, Suzanne 6/2/2021 2:58:40 PM (Payment Verification for NCC213192)
* Keystone Group Inc
• McCoy, Suzanne assigned the task to McCoy, Suzanne 6/2/2021 2:58 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 7, 2021 5:00 PM
5/26/2021 9:18 AM

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NORTH CAROLINA
Environmental Quvllty
Project Name Keystone at Penny Road Subdivision
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-3192
Certificate of NCC213192
Coverage (COC)
No.*
Invoice Date 5/26/2021
Initial Invoice No. NCC213192-2021
Initial Fee $ 100.00
Invoice Due Date 6/25/2021
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 6/2/2021
Received* (Or, if not received, date rejected for no payrrent)
Method of Payment* r electronic
r check
f Other
Check Number* 5060
NOI Tracking No. 53419
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes
Project Tracking ID NCC-GUILF-2021-Keystone at Penny Road Subdivision