NCC203263_NOI 28970 Payment Verification_20200804

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/28/2020 2:04:45 PM (NCG01 NOI Submission)
Approve by Clark, Paul 7/30/2020 7:55:58 AM (Review- Construction NOI 28970)
• Farkas, Jim J reassigned the task to Clark, Paul 7/29/2020 3:16 PM
. The task was assigned to Farkas, Jim J by round robin distribution 7/28/2020 2:05 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 30, 2020 5:00 PM
7/28/2020 2:05 PM
Submit by Selkane, Aziza 8/4/2020 2:33:19 PM (Payment Verification for NCC203263)
* Adams Homes AEC, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 8/4/2020 2:32 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 10, 2020 5:00
PM 7/30/2020 7:56 AM

SfA7$ q,
•
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Mason Park Phase 3
NC Reference No.*
NCG01-2020-3263
Certificate of
NCC203263
Coverage (COC)
No. *
Invoice Date
7/30/2020
Initial Invoice No.
NCC203263-2020
Initial Fee
$ 100.00
Invoice Due Date
8/29/2020
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
f Other
Check Number*
68856
NOI Tracking No.
28970
TracWng ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-JO HNS-2020- Mason Park Phase 3