NCC204317_NOI 32169 Payment Verification_20201006

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/29/2020 9:52:55 AM (NCG01 NOI Submission)
Approve by Clark, Paul 9/29/2020 10:42:21 AM (Review- Construction NOI 32169)
• The task was assigned to Clark, Paul by round robin distribution 9/29/2020 9:53 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 1, 2020 5:00
PM 9/29/2020 9:53 AM
Submit by Selkane, Aziza 10/6/2020 11:42:31 AM (Payment Verification for NCC204317)
* K.M. Biggs Inc.
• Selkane, Aziza assigned the task to Selkane, Aziza 10/6/2020 11:41 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 10, 2020 5:00
PM 9/29/2020 10:42 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Ploof Road
NC Reference No.*
NCG01-2020-4317
Certificate of
NCC204317
Coverage (COC)
No. *
Invoice Date
9/29/2020
Initial Invoice No.
NCC204317-2020
Initial Fee
$ 100.00
Invoice Due Date
10/29/2020
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
10/6/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
Check Number*
14772
NOI Tracking No.
32169
TracWng ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-BRUNS-2020-Ploof Road