NCC205467_NOI 37227 Payment Verification_20201204

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/24/2020 12:22:07 PM (NCG01 NOI Submission)
Approve by Clark, Paul 11/25/2020 10:59:47 AM (Review- Construction NOI 37227)
• The task was assigned to Clark, Paul by round robin distribution 11/24/2020 12:22 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 26, 2020 5:00
PM 11/24/2020 12:22 PM
Submit by Selkane, Aziza 12/4/2020 10:23:56 AM (Payment Verification for NCC205467)
* Sherrill Britt
• Selkane, Aziza assigned the task to Selkane, Aziza 12/4/2020 10:23 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 6, 2021 5:00 PM
11 /25/2020 11:00 AM

SfA7$ q,
•
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Forbis Land Development
NC Reference No.*
NCG01-2020-5467
Certificate of
NCC205467
Coverage (COC)
No. *
Invoice Date
11/25/2020
Initial Invoice No.
NCC205467-2020
Initial Fee
$ 100.00
Invoice Due Date
12/25/2020
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
12/4/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
547308120
Transaction
Number*
NOI Tracking No.
37227
Tracking ID referenced upon subnittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MOORE-2020-Forbis Land Development