NCC193355_Payment Verification_20200102

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/30/2019 2:21:56 PM(NCG01 NOI Submission)
Approve by Garcia, Lauren V 12/31/2019 9:05:06 AM(Review-Construction NOI 20018)
• Morman,Alaina reassigned the task to Garcia, Lauren V 12/31/2019 8:54 AM
* These are Jim's. Thank you for covering for us!!!!!
• The task was assigned to Farkas,Jim J by round robin distribution 12/30/2019 2:22 PM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:January 1,2020 5:00
PM.The priority is: High 12/30/2019 2:22 PM
Submit by McCoy, Suzanne 1/2/2020 7:13:08 AM(Payment Verification for NCC193355)
* MatthewClemmons
• McCoy,Suzanne assigned the task to McCoy, Suzanne 1/2/2020 7:12 AM
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 11,2020 5:00 PM.
The priority is: High 12/31/2019 9:05 AM

Payrmnt Verification
NORTH CAROLINA
Environmental Quvllly
Project Tracking ID* NCC-UNION-2020-Panera Bread#1137
NC Reference No.* NCG01-2019-3355
Certificate of NCC193355
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 1/2/2020
Received*
Method of Payment* r electronic
f check
r NO PAYMENT RECEIVED
f Other
ePayment 496294942
Transaction
Number*
NOI Tracking No. 20018
Tracking ID referenced upon subrrittal
This is an Express f No
Review Project r Yes