NCC215183_NOI 64768 Payment Verification_20210915

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/14/2021 9:58:21 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/14/2021 10:03:24 AM (Review- Construction NOI 64768)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/14/2021 9:59 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 16, 2021 5:00
PM 9/14/2021 9:59 AM
Submit by Miller, Ariyelle L 9/15/2021 10:47:29 AM (Payment Verification for NCC215183)
* AndrewDreyfuss
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 9/15/2021 10:39 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 26, 2021 5:00 PM
9/14/2021 10:03 AM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Villas at Jefferson Ridge
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-5183
Certificate of
NCC215183
Coverage (COC)
No.*
Invoice Date
9/14/2021
Initial Invoice No.
NCC215183-2021
Initial Fee
$ 100.00
Invoice Due Date
10/14/2021
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
9/15/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
592775062
Transaction
Number*
NOI Tracking No.
64768
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2021-Villas at Jefferson Ridge