NCC204722_NOI 33285 Payment Verification_20201028

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/16/2020 8:21:14 PM (NCG01 NOI Submission)
Approve by Clark, Paul 10/19/2020 7:41:32 PM (Review- Construction NOI 33285)
• The task was assigned to Clark, Paul by round robin distribution 10/16/2020 8:21 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 20, 2020 5:00
PM 10/16/2020 8:21 PM
Submit by Selkane, Aziza 10/28/2020 1:19:47 PM (Payment Verification for NCC204722)
* Stacey A. Keech
Keech's Kampground
• Selkane, Aziza assigned the task to Selkane, Aziza 10/28/2020 1:18 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 30, 2020 5:00
PM 10/19/2020 7:42 PM

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•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Keech's Kampground, LLC
NC Reference No.*
NCG01-2020-4722
Certificate of
NCC204722
Coverage (COC)
No. *
Invoice Date
10/19/2020
Initial Invoice No.
NCC204722-2020
Initial Fee
$ 100.00
Invoice Due Date
11/18/2020
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
10/28/2020
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*
1179
NOI Tracking No.
33285
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-BEAUF-2020-Keech's Kampground, LLC