NCC205666_NOI 38557 Payment Verification_20201210

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/8/2020 9:37:56 AM (NCG01 NOI Submission)
Approve by Clark, Paul 12/8/2020 3:59:08 PM (Review- Construction NOI 38557)
• The task was assigned to Clark, Paul by round robin distribution 12/8/2020 9:38 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 10, 2020 5:00
PM 12/8/2020 9:38 AM
Submit by Selkane, Aziza 12/10/2020 1:20:15 PM (Payment Verification for NCC205666)
* W G Daniel
• Selkane, Aziza assigned the task to Selkane, Aziza 12/10/2020 1:19 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 19, 2021 5:00 PM
12/8/2020 3:59 PM

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•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Tractor Supply
NC Reference No.*
NCG01-2020-5666
Certificate of
NCC205666
Coverage (COC)
No. *
Invoice Date
12/8/2020
Initial Invoice No.
NCC205666-2020
Initial Fee
$ 100.00
Invoice Due Date
1/7/2021
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 Payment
12/10/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
548244299
Transaction
Number*
NOI Tracking No.
38557
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-ONSLO-2021-Tractor Supply