NCC210014_NOI 39839 Payment Verification_20210108

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/29/2020 9:45:10 AM (NCG01 NOI Submission)
Approve by Clark, Paul 1/4/2021 11:39:23 AM (Review- Construction NOI 39839)
• Georgoulias, Bethany reassigned the task to Clark, Paul 1/4/2021 10:25 AM
* Reassigned from Annette's queue.
• The task was assigned to Lucas, Annette by round robin distribution 12/29/2020 9:45 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 31, 2020 5:00
PM 12/29/2020 9:45 AM
Submit by Selkane, Aziza 1/8/2021 11:26:20 AM (Payment Verification for NCC210014)
* Stuart Parks
• Selkane, Aziza assigned the task to Selkane, Aziza 1/8/2021 11:25 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 15, 2021 5:00
PM 1/4/2021 11:39 AM

SfA7$ q,
•
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Bartlett Bluff
NC Reference No.*
NCG01-2021-0014
Certificate of
NCC210014
Coverage (COC)
No. *
Invoice Date
1/4/2021
Initial Invoice No.
NCC210014-2021
Initial Fee
$ 100.00
Invoice Due Date
2/3/2021
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 Payment
1/8/2021
Received *
(Or, if not received, date rejected for no paynent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
552606037
Transaction
Number*
NOI Tracking No.
39839
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-FORSY-2020-Bartlett Bluff