NCC203676_NOI 30285 Payment Verification_20200901

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/24/2020 9:54:07 AM (NCG01 NOI Submission)
Approve by Clark, Paul 8/24/2020 3:31:12 PM (Review- Construction NOI 30285)
• Georgoulias, Bethany reassigned the task to Clark, Paul 8/24/2020 3:14 PM
• The task was assigned to Garcia, Lauren V by round robin distribution 8/24/2020 9:54 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 26, 2020 5:00
PM 8/24/2020 9:54 AM
Submit by Selkane, Aziza 9/1/2020 8:33:12 AM (Payment Verification for NCC203676)
* Michael Burdette
• Selkane, Aziza assigned the task to Selkane, Aziza 9/1/2020 8:31 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 5, 2020 5:00 PM
8/24/2020 3:31 PM

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•
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• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Harris Teeter Fuel #175 - Kill Devil Hills
NC Reference No.*
NCG01-2020-3676
Certificate of
NCC203676
Coverage (COC)
No. *
Invoice Date
8/24/2020
Initial Invoice No.
NCC203676-2020
Initial Fee
$ 100.00
Invoice Due Date
9/23/2020
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
9/1 /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
53313818
Transaction
Number*
NOI Tracking No.
30285
Tracking ID referenced upon submittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-DARE-2020-Harris Teeter Fuel #175 - Kill Devil Hills