NCC205973_NOI 39730 Payment Verification_20210107

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/23/2020 11:22:01 AM (NCG01 NOI Submission)
Approve by Clark, Paul 12/29/2020 11:49:09 AM (Review- Construction NOI 39730)
• The task was assigned to Clark, Paul by round robin distribution 12/23/2020 11:22 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 25, 2020 5:00
PM 12/23/2020 11:22 AM
Submit by Selkane, Aziza 1/7/2021 12:49:44 PM (Payment Verification for NCC205973)
* Cynthia Jacobs
• Selkane, Aziza assigned the task to Selkane, Aziza 1/7/2021 12:49 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 9, 2021 5:00 PM
12/29/2020 11:49 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Brookwood Phase 1 B - Lots 27 & 29
NC Reference No.*
NCG01-2020-5973
Certificate of
NCC205973
Coverage (COC)
No. *
Invoice Date
12/29/2020
Initial Invoice No.
NCC205973-2020
Initial Fee
$ 100.00
Invoice Due Date
1/28/2021
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
1 /7/2021
Received *
(Or, if not received, date rejected for no paynent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
552449545
Transaction
Number*
NOI Tracking No.
39730
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MOORE-2020-Brookwood Phase 1 B - Lots 27 & 29