NCC204001_NOI 31224 Payment Verification_20200922

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/10/2020 9:39:08 AM (NCG01 NOI Submission)
Approve by Clark, Paul 9/11/2020 3:30:24 PM (Review- Construction NOI 31224)
• The task was assigned to Clark, Paul by round robin distribution 9/10/2020 9:39 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 14, 2020 5:00
PM. The priority is: High 9/10/2020 9:39 AM
Submit by Selkane, Aziza 9/22/2020 8:32:24 AM (Payment Verification for NCC204001)
* Adam R Koester
• Selkane, Aziza assigned the task to Selkane, Aziza 9/22/2020 8:29 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 23, 2020 5:00 PM.
The priority is: High 9/11/2020 3:30 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Stor-All Derita Road
NC Reference No.*
NCG01-2020-4001
Certificate of
NCC204001
Coverage (COC)
No. *
Invoice Date
9/11/2020
Initial Invoice No.
NCC204001-2020
Initial Fee
$ 100.00
Invoice Due Date
10/11/2020
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
9/22/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
536278166
Transaction
Number*
NOI Tracking No.
31224
Tracking ID referenced upon submittal
This is an Express
a No
Review Project
a Yes
Project Tracking ID
NCC-CABAR-2020-Stor-All Derita Road