NCC213332_NOI 54498 Payment Verification_20210621

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/11/20211 1:30:47 PM (NCGO1 NOI Submission)
App— by Clark, Paul B 6/1/2021 4:49:09 PM (Review - Construction NOI 54498)
* The task was assigned to Clark, Paul B by round robin distribution 6/1/2021 1:31 PM
The task was assigned to DEMLR NCGOII NOI Review Team. The due date is: June 3, 2021 5:00 PM
6/11/20211 1:31 PM
Submit by McCoy, Suzanne 6/21/2021 8:28:18 AM (Payment Verification for NCC213332)
p 401 Sand Company LLc
e McCoy, Suzanne assigned the task to McCoy, Suzanne 6/21/2021 8:27 AM
The task was assigned to DEMLR NCGOII Payment Team. The due date is: July 13, 2021 5:00 PM
6/11/20211 4:49 PM

Payrmnt Verification
NORTH CAROLINA
Enyirmm�tal QualIfy
Project Name
401 Sand LCID
Lot Numbers
(ff listed on the eNO)
N/A
NCReferenceNo.*
NCGOl-2021-3332
Certificate of
NCC213332
Coverage (CCC)
No. *
Invoice Date
6/1/2021
Initial Invoice No.
NCC213332-2021
Initial Fee
$ 100.00
Invoice Due Date
7/1/2021
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* IT Payment Received.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
6/21/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
IT check
r Other
Check Number*
46950
NOI Tracking No.
54498
Traclking ID referenced upon subrrtal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-HOKE-2021-401 Sand LCID