NCC220662_NOI 80686 Payment Verification_20220215

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/4/2022 9:53:35 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/4/2022 10:08:19 AM (Review - NOI 80686 Calabash Meadows Senior Living
Community)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/4/2022 9:53 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 8, 2022 5:00
PM 2/4/2022 9:53 AM
by Workflow 2/4/2022 10:08:31 AM (Workflow Start Event)
Submit by Selkane, Aziza 2/15/2022 9:09:21 AM (Payment Verification for NCC220662)
F Ilex Properties LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 2/15/2022 9:08 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 18, 2022 5:00 PM
2/4/2022 10:08 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Calabash Meadows Senior Living Community
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-0662
Certificate of NCC220662
Coverage (COC) No.*
Invoice Date 2/4/2022
Initial Invoice No. NCC220662-2022
Initial Fee $ 100.00
Invoice Due Date 3/6/2022
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 2/15/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 5011
NOI Tracking No. 80686
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BRUNS-2022-Calabash Meadows Senior Living Community