NCC203300_NOI 29201 Payment Verification_20200804

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/30/2020 6:48:08 PM (NCG01 NOI Submission)
Approve by Clark, Paul 8/3/2020 8:40:17 AM (Review- Construction NOI 29201)
• The task was assigned to Clark, Paul by round robin distribution 7/30/2020 6:48 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 3, 2020 5:00
PM 7/30/2020 6:48 PM
Submit by Selkane, Aziza 8/4/2020 7:51:43 AM (Payment Verification for NCC203300)
* Greenfield -Serenity, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 8/4/2020 7:51 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 14, 2020 5:00
PM 8/3/2020 8:40 AM

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•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Serenity Phase 1ABC - Erosion Control Phase 2
NC Reference No.*
NCG01-2020-3300
Certificate of
NCC203300
Coverage (COC)
No. *
Invoice Date
8/3/2020
Initial Invoice No.
NCC203300-2020
Initial Fee
$ 100.00
Invoice Due Date
9/2/2020
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
8/4/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r^ NO PAYMENT RECEIVED
r Other
ePayment
529035537
Transaction
Number*
NOI Tracking No.
29201
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-HARNE-2020-Serenity Phase 1ABC - Erosion Control Phase 2