NCC213821_NOI 57184 Payment Verification_20210628

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/24/2021 11:59:04 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/25/2021 7:54:31 AM (Review- Construction NOI 57184)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/24/2021 11:59 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 28, 2021 5:00 PM.
The priority is: High 6/24/2021 11:59 AM
Submit by Selkane, Aziza 6/28/2021 9:17:10 AM (Payment Verification for NCC213821)
* Thomas Leppert
• Selkane, Aziza assigned the task to Selkane, Aziza 6/28/2021 9:16 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 6, 2021 5:00 PM.
The priority is: High 6/25/2021 7:55 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envtro me tufQuuftty
Project Name
OLD VILLAGE
Lot Numbers
(If listed on the eN0l)
1,2,3,4,7,9,10,11,16,17
NC Reference No.*
NCG01-2021-3821
Certificate of
NCC213821
Coverage (COC)
No.*
Invoice Date
6/25/2021
Initial Invoice No.
NCC213821-2021
Initial Fee
$ 100.00
Invoice Due Date
7/25/2021
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.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payme nt
6/28/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
r Other
ePayment
579186777
Transaction
Number*
NOI Tracking No.
57184
Tracking ID referenced upon subrrittal
This is an Express
f No
Review Project
r Yes
Project Tracking ID
NCC-LINCO-2021-OLD VILLAGE