NCC204770_NOI 33587 Payment Verification_20201215

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/21/2020 3:19:32 PM (NCG01 NOI Submission)
Approve by Clark, Paul 10/21/2020 3:38:05 PM (Review- Construction NOI 33587)
• The task was assigned to Clark, Paul by round robin distribution 10/21/2020 3:19 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 23, 2020 5:00
PM 10/21/2020 3:19 PM
Submit by Selkane, Aziza 12/15/2020 9:07:47 AM (Payment Verification for NCC204770)
* Mark Campbell
• Selkane, Aziza assigned the task to Selkane, Aziza 12/15/2020 9:07 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 2, 2020 5:00
PM 10/21/2020 3:38 PM

SfA7$ q,
•
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
CFA4551
NC Reference No.*
NCG01-2020-4770
Certificate of
NCC204770
Coverage (COC)
No. *
Invoice Date
10/21/2020
Initial Invoice No.
NCC204770-2020
Initial Fee
$ 100.00
Invoice Due Date
11/20/2020
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 Payment
12/15/2020
Received *
(Or, if not received, date rejected for no paynent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
548917180
Transaction
Number*
NOI Tracking No.
33587
Tracking ID referenced upon subnittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-HENDE-2020-CFA4551