NCC193336_Payment Verification_20191231

Action History (UTC-05:00)Eastern Time(US&Canada)
Subrrit by Anonymous User 12/27/2019 10:28:03 AM(NCG01 NOI Submission)
Approve by Clark, Paul 12/30/2019 11:54:14 AM(Review-Construction NOI 19947)
• The task was assigned to Clark, Paul by round robin distribution 12/27/2019 10:28 AM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 31,2019 5:00
PM 12/27/2019 10:28 AM
Submit by McCoy, Suzanne 12/31/2019 7:33:41 AM(Payment Verification for NCC193336)
* John Lehotsky
• McCoy,Suzanne assigned the task to McCoy, Suzanne 12/31/2019 7:33 AM
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 10, 2020 5:00
PM 12/30/2019 11:54 AM

NORTH CAROLINA
Environmental Quvllly
Project Tracking ID* NCC-JACKS-2019-Mossy Ridge MHP
NC Reference No.* NCG01-2019-3336
Certificate of NCC193336
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.
r Payment NOT RECEIVED.
Date Payment 12/31/2019
Received*
Method of Payment* r electronic
f check
r NO PAYMENT RECEIVED
f Other
ePayment 496123148
Transaction
Number*
NOI Tracking No. 19947
Tracking ID referenced upon subrrittal
This is an Express r No
Review Project r Yes