NCC210524_NOI 41894 Payment Verification_20210128

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/26/2021 4:39:58 PM (NCG01 NOI Submission)
Approve by Clark, Paul 1/27/2021 3:46:25 PM (Review- Construction NOI 41894)
• Garcia, Lauren V reassigned the task to Clark, Paul 1/27/2021 1:31 PM
• The task was assigned to Garcia, Lauren V by round robin distribution 1/26/2021 4:40 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 28, 2021 5:00
PM 1/26/2021 4:40 PM
Submit by Selkane, Aziza 1/28/2021 8:12:38 AM (Payment Verification for NCC210524)
* Daniel Marthinsen
• Selkane, Aziza assigned the task to Selkane, Aziza 1/28/2021 8:11 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 10, 2021 5:00 PM
1/27/2021 3:46 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
2913 Beulah Church Road
NC Reference No.*
NCG01-2021-0524
Certificate of
NCC210524
Coverage (COC)
No. *
Invoice Date
1/27/2021
Initial Invoice No.
NCC210524-2021
Initial Fee
$ 100.00
Invoice Due Date
2/26/2021
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 /28/2021
Received *
(Or, if not received, date rejected for no paynent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
555778223
Transaction
Number*
NOI Tracking No.
41894
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-UNION-2021-2913 Beulah Church Road