NCC203355_NOI 29354 Payment Verification_20200806

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/3/2020 1:01:57 PM (NCG01 NOI Submission)
Approve by Farkas, Jim J 8/5/2020 3:26:25 PM (Review- Construction NOI 29354)
• The task was assigned to Farkas, Jim J by round robin distribution 8/3/2020 1:02 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 5, 2020 5:00
PM 8/3/2020 1:02 PM
Submit by Selkane, Aziza 8/6/2020 8:08:31 AM (Payment Verification for NCC203355)
* Bradley Parker
• Selkane, Aziza assigned the task to Selkane, Aziza 8/6/2020 8:06 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 16, 2020 5:00
PM 8/5/2020 3:26 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Madison Grove
NC Reference No.*
NCG01-2020-3355
Certificate of
NCC203355
Coverage (COC)
No. *
Invoice Date
8/5/2020
Initial Invoice No.
NCC203355-2020
Initial Fee
$ 100.00
Invoice Due Date
9/4/2020
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
8/6/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
529427936
Transaction
Number*
NOI Tracking No.
29354
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-DUPLI-2020-Madison Grove