NCC192073_Payment Verification_20190926

Action History (UTC-05:00) Eastern Time(US&Canada)
Submit by Anonymous User 9/25/2019 12:22:04 PM(NCG01 NOI Submission)
Approve by Farkas,Jim J 9/26/2019 1:34:42 PM(Review-Construction NOI 16275)
• The task was assigned to Farkas,Jim J by round robin distribution 9/25/2019 12:22 PM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 27,2019 5:00
PM 9/25/2019 12:22 PM
Submit by McCoy,Suzanne 9/26/2019 2:47:51 PM(Payment Verification for NCC192073)
* Broadwell Land Co.
• McCoy, Suzanne assigned the task to McCoy,Suzanne 9/26/2019 2:46 PM
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 7,2019 5:00
PM 9/26/2019 1:34 PM

NORTH CAROLINA
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Project Tracking ID* NCC-CUMBE-2019-Elliot Farm Phase 1A
NC Reference No.* NCG01-2019-2073
Certificate of NCC192073
Coverage (COC)
No.*
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.
Date Payment 9/26/2019
Received*
Method of Payment* r electronic
r check
r NO PAYMENT RECEIVED
r Other
Check Number* 24016
NOI Tracking No. 16275
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes