NCC203499_NOI 29807 Payment Verification_20200813

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/12/2020 10:38:45 AM (NCG01 NOI Submission)
Approve by Clark, Paul 8/13/2020 10:53:32 AM (Review- Construction NOI 29807)
• Gwinn, Matt reassigned the task to Clark, Paul 8/13/2020 8:08 AM
. The task was assigned to Gwinn, Matt by round robin distribution 8/12/2020 10:39 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 14, 2020 5:00
PM 8/12/2020 10:39 AM
Submit by Selkane, Aziza 8/13/2020 3:28:06 PM (Payment Verification for NCC203499)
* Brian Kimsey
• Selkane, Aziza assigned the task to Selkane, Aziza 8/13/2020 3:27 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 24, 2020 5:00
PM 8/13/2020 10:53 AM

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•
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Mountain Island Chick-fil-A
NC Reference No.*
NCG01-2020-3499
Certificate of
NCC203499
Coverage (COC)
No. *
Invoice Date
8/13/2020
Initial Invoice No.
NCC203499-2020
Initial Fee
$ 100.00
Invoice Due Date
9/12/2020
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 Payment
8/13/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
530575434
Transaction
Number*
NOI Tracking No.
29807
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MECKL-2020-Mountain Island Chick-fil-A