NCC205539_NOI 37786 Payment Verification_20201202

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/1/2020 9:58:29 AM (NCG01 NOI Submission)
Approve by Clark, Paul 12/1/2020 12:05:43 PM (Review- Construction NOI 37786)
• The task was assigned to Clark, Paul by round robin distribution 12/1/2020 9:59 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 3, 2020 5:00
PM 12/1/2020 9:59 AM
Submit by Selkane, Aziza 12/2/2020 11:31:41 AM (Payment Verification for NCC205539)
* Janet Singleton
• Selkane, Aziza assigned the task to Selkane, Aziza 12/2/2020 11:30 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 12, 2021 5:00 PM
12/1/2020 12:06 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Fluor -United Concrete Batch Plant
NC Reference No.*
NCG01-2020-5539
Certificate of
NCC205539
Coverage (COC)
No. *
Invoice Date
12/1/2020
Initial Invoice No.
NCC205539-2020
Initial Fee
$ 100.00
Invoice Due Date
12/31/2020
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
12/2/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
546987426
Transaction
Number*
NOI Tracking No.
37786
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-HENDE-2020-Fluor-United Concrete Batch Plant