NCC204263_NOI 32000 Payment Verification_20200929

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/25/2020 7:21:05 AM (NCG01 NOI Submission)
Approve by Clark, Paul 9/25/2020 4:15:05 PM (Review- Construction NOI 32000)
• The task was assigned to Clark, Paul by round robin distribution 9/25/2020 7:21 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 29, 2020 5:00
PM 9/25/2020 7:21 AM
Submit by Selkane, Aziza 9/29/2020 2:16:22 PM (Payment Verification for NCC204263)
* Mark T Lyczkowski
• Selkane, Aziza assigned the task to Selkane, Aziza 9/29/2020 2:15 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 6, 2020 5:00
PM 9/25/2020 4:16 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Pettus Property
NC Reference No.*
NCG01-2020-4263
Certificate of
NCC204263
Coverage (COC)
No. *
Invoice Date
9/25/2020
Initial Invoice No.
NCC204263-2020
Initial Fee
$ 100.00
Invoice Due Date
10/25/2020
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
9/29/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
Check Number*
464
NOI Tracking No.
32000
TracWng ID referenced upon subaittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-LEE-2020-Pettus Property