NCC203227_NOI 28925 Payment Verification_20200729

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/28/2020 9:29:24 AM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 7/28/2020 12:34:53 PM (Review- Construction NOI 28925)
. The task was assigned to Garcia, Lauren V by round robin distribution 7/28/2020 9:30 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 30, 2020 5:00 PM
7/28/2020 9:30 AM
Submit by Selkane, Aziza 7/29/2020 7:58:27 AM (Payment Verification for NCC203227)
* 4161 Clinard Road LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 7/29/2020 7:56 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 8, 2020 5:00
PM 7/28/2020 12:35 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Tanglewood Forest Subdivision
NC Reference No.*
NCG01-2020-3227
Certificate of
NCC203227
Coverage (COC)
No. *
Invoice Date
7/28/2020
Initial Invoice No.
NCC203227-2020
Initial Fee
$ 100.00
Invoice Due Date
8/27/2020
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 eNO1 at this step.
Payment Received* r Payment Received.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payme nt
7/29/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
528204447
Transaction
Number*
NOI Tracking No.
28925
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2020-Tanglewood Forest Subdivision