NCC210165_NOI 40739 Payment Verification_20210112

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/8/2021 1:51:02 PM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 1/11/2021 10:11:50 AM (Review- Construction NOI 40739)
• The task was assigned to Garcia, Lauren V by round robin distribution 1/8/2021 1:51 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 12, 2021 5:00
PM 1/8/2021 1:51 PM
Submit by Selkane, Aziza 1/12/2021 8:19:15 AM (Payment Verification for NCC210165)
* John Bortins
• Selkane, Aziza assigned the task to Selkane, Aziza 1/12/2021 8:18 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 22, 2021 5:00
PM 1/11/2021 10:12 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
1667 E Indiana Ave
NC Reference No.*
NCG01-2021-0165
Certificate of
NCC210165
Coverage (COC)
No. *
Invoice Date
1/11/2021
Initial Invoice No.
NCC210165-2021
Initial Fee
$ 100.00
Invoice Due Date
2/10/2021
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
1/12/2021
Received *
(Or, if not received, date rejected for no paynent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
553160522
Transaction
Number*
NOI Tracking No.
40739
Tracking ID referenced upon subnittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MOORE-2021-1667 E Indiana Ave