NCC210325_NOI 41270 Payment Verification_20210120

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/18/2021 2:33:28 PM (NCG01 NOI Submission)
Approve by Meloy, Michael 1/19/2021 10:30:21 AM (Review- Construction NOI 41270)
• The task was assigned to Meloy, Michael by round robin distribution 1/18/2021 2:34 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 20, 2021 5:00
PM 1/18/2021 2:34 PM
Submit by Selkane, Aziza 1/20/2021 9:36:26 AM (Payment Verification for NCC210325)
* Anna Serio
• Selkane, Aziza assigned the task to Selkane, Aziza 1/20/2021 9:34 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 2, 2021 5:00 PM
1/19/2021 10:31 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
CRL02A025
NC Reference No.*
NCG01-2021-0325
Certificate of
NCC210325
Coverage (COC)
No.*
Invoice Date
1/19/2021
Initial Invoice No.
NCC210325-2021
Initial Fee
$ 100.00
Invoice Due Date
2/18/2021
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 /20/2021
Received *
(Or, if not received, date rejected for no paynent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
554521911
Transaction
Number*
NOI Tracking No.
41270
Tracking ID referenced upon subnittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-MOORE-2021-CRL02A025