NCC205913_NOI 39534 Payment Verification_20201223

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/21/2020 9:36:13 AM (NCG01 NOI Submission)
Approve by Morman, Alaina 12/22/2020 2:17:29 PM (Review- Construction NOI 39534)
• The task was assigned to Morman, Alaina by round robin distribution 12/21/2020 9:36 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 23, 2020 5:00
PM 12/21/2020 9:36 AM
Submit by Selkane, Aziza 12/23/2020 11:12:09 AM (Payment Verification for NCC205913)
* Prime / Builders LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 12/23/2020 11:11 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 2, 2021 5:00 PM
12/22/2020 2:17 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Cooke Road Shell #2
NC Reference No.*
NCG01-2020-5913
Certificate of
NCC205913
Coverage (COC)
No. *
Invoice Date
12/22/2020
Initial Invoice No.
NCC205913-2020
Initial Fee
$ 100.00
Invoice Due Date
1/21/2021
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 Payme nt
12/23/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
550276013
Transaction
Number*
NOI Tracking No.
39534
Tracking ID referenced upon subnittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-NASFi-2021-Cooke Road Shell #2