NCC213671_NOI 56662 Payment Verification_20210618

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/16/2021 3:28:33 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/17/2021 9:13:08 AM (Review- Construction NOI 56662)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/16/2021 3:29 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 18, 2021 5:00 PM
6/16/2021 3:29 PM
Submit by Selkane, Aziza 6/18/2021 7:24:15 AM (Payment Verification for NCC213671)
* Tracey Davis
• Selkane, Aziza assigned the task to Selkane, Aziza 6/18/2021 7:23 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 29, 2021 5:00 PM
6/17/2021 9:13 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Lake Royale Lots
Lot Numbers
(If listed on the eN0l)
3076, 3079, 3141, 3143, 3307, 3094, 3097, 3269, 3283, 3284, 3285, 3286, 3287,
3288, 3290, 3267, 3266, 3265, 3264, 3263, 3166, 3167, 3177, 3171, 3168, 3167,
3166, 3370, 3371, 3341
NC Reference No.*
NCG01-2021-3671
Certificate of
NCC213671
Coverage (COC)
No.*
Invoice Date
6/17/2021
Initial Invoice No.
NCC213671-2021
Initial Fee
$ 100.00
Invoice Due Date
7/17/2021
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
6/18/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
577965184
Transaction
Number*
NOI Tracking No.
56662
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-FRANK-2021-Lake Royale Lots