NCC204011_NOI 31291 Payment Verification_20200915

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/11/2020 8:38:33 AM (NCG01 NOI Submission)
Approve by Clark, Paul 9/14/2020 8:39:35 AM (Review- Construction NOI 31291)
• The task was assigned to Clark, Paul by round robin distribution 9/11/2020 8:39 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 15, 2020 5:00
PM 9/11/2020 8:39 AM
Submit by Selkane, Aziza 9/15/2020 7:22:45 AM (Payment Verification for NCC204011)
* Douglas Henriott
• Selkane, Aziza assigned the task to Selkane, Aziza 9/15/2020 7:22 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 26, 2020 5:00 PM
9/14/2020 8:39 AM

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•
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• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Outer Banks Dare Challenge, Inc.
NC Reference No.*
NCG01-2020-4011
Certificate of
NCC204011
Coverage (COC)
No. *
Invoice Date
9/14/2020
Initial Invoice No.
NCC204011-2020
Initial Fee
$ 100.00
Invoice Due Date
10/14/2020
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
9/15/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
535477702
Transaction
Number*
NOI Tracking No.
31291
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-DARE-2020-Outer Banks Dare Challenge, Inc.