NCC203204_NOI 28760 Payment Verification_20200728

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/23/2020 2:35:03 PM (NCG01 NOI Submission)
Approve by Farkas, Jim J 7/27/2020 3:29:06 PM (Review- Construction NOI 28760)
. The task was assigned to Farkas, Jim J by round robin distribution 7/23/2020 2:35 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 27, 2020 5:00 PM
7/23/2020 2:35 PM
Submit by Selkane, Aziza 7/28/2020 9:09:10 AM (Payment Verification for NCC203204)
* Anna Serio
• Selkane, Aziza assigned the task to Selkane, Aziza 7/28/2020 9:08 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 7, 2020 5:00
PM 7/27/2020 3:29 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
VLD 5
NC Reference No.*
NCG01-2020-3204
Certificate of
NCC203204
Coverage (COC)
No. *
Invoice Date
7/27/2020
Initial Invoice No.
NCC203204-2020
Initial Fee
$ 100.00
Invoice Due Date
8/26/2020
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
7/28/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
528093752
Transaction
Number*
NOI Tracking No.
28760
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MOORE-2020-VLD 5