NCC192650_Payment Verification_20191106

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/4/2019 10:50:24 AM (NCG01 NOI Submission)
Approve by Farkas, Jim J 11/4/2019 11:19:41 AM (Review- Construction NOI 18057)
• The task was assigned to Farkas, Jim J by round robin distribution 11/4/2019 10:50 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 6, 2019 5:00
PM 11 /4/2019 10:50 AM
Submit by Garcia, Lauren V 11/6/2019 2:33:53 PM (Payment Verification for NCC192650)
* Chris Wezyk
• Garcia, Lauren V assigned the task to Garcia, Lauren V 11/6/2019 2:33 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 16, 2019 5:00
PM 11 /4/2019 11:19 AM

NORTH CAROLINA
Envtr"mmWiQvuAty
Project Tracking ID*
NCC-CHATH-2019-Autonetics
NC Reference No.*
NCG01-2019-2650
Certificate of
NCC192650
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
11/6/2019
Received*
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
e Payme nt
487418921
Transaction
Number*
NOI Tracking No.
18057
Tracking ID referenced upon subnittal
This is an Express
r No
Review Project
r Yes