NCC220143_NOI 77714 Payment Verification_20220120

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/6/2022 9:44:50 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/6/2022 9:50:50 AM (Review - Construction NOI 77714)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/6/2022 9:45 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 10, 2022 5:00
PM 1/6/2022 9:45 AM
Submit by Selkane, Aziza 1/20/2022 12:04:11 PM (Payment Verification for NCC220143)
P Southern Interior Design Corp
• Selkane, Aziza assigned the task to Selkane, Aziza 1/20/2022 12:03 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 17, 2022 5:00 PM
1/6/2022 9:51 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Slavic Evangelic Church
Lot Numbers (If listed on the eNOI)
6308 Mill Grove Road
Union County N.C.
NC Reference No.* NCG01-2022-0143
Certificate of
NCC220143
Coverage (COC) No.*
Invoice Date
1/6/2022
Initial Invoice No.
NCC220143-2022
Initial Fee
$ 100.00
Invoice Due Date
2/5/2022
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* Payment Received.
Payment NOT RECEIVED.
Payment Status PAID
Date Payment 1/20/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 1365
NOI Tracking No. 77714
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-UNION-2022-Slavic Evangelic Church