NCC210523_NOI 41870 Payment Verification_20210128

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/26/2021 3:09:27 PM (NCG01 NOI Submission)
Approve by Clark, Paul 1/27/2021 3:43:00 PM (Review- Construction NOI 41870)
• The task was assigned to Clark, Paul by round robin distribution 1/26/2021 3:10 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 28, 2021 5:00
PM 1/26/2021 3:10 PM
Submit by Selkane, Aziza 1/28/2021 9:16:08 AM (Payment Verification for NCC210523)
* James Bruce
• Selkane, Aziza assigned the task to Selkane, Aziza 1/28/2021 9:14 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 10, 2021 5:00 PM
1 /27/2021 3:44 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Pea Ridge Lot 4
NC Reference No.*
NCG01-2021-0523
Certificate of
NCC210523
Coverage (COC)
No. *
Invoice Date
1/27/2021
Initial Invoice No.
NCC210523-2021
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 payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
555808095
Transaction
Number*
NOI Tracking No.
41870
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CHATFI­2021-Pea Ridge Lot 4