NCC210561_NOI 42021 Payment Verification_20210201

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/28/2021 8:52:39 AM (NCG01 NOI Submission)
Approve by Clark, Paul 1/28/2021 3:15:36 PM (Review- Construction NOI 42021)
• Garcia, Lauren V reassigned the task to Clark, Paul 1/28/2021 11:28 AM
. The task was assigned to Garcia, Lauren V by round robin distribution 1/28/2021 8:53 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 1, 2021 5:00
PM 1/28/2021 8:53 AM
Submit by Selkane, Aziza 2/1/2021 1:53:20 PM (Payment Verification for NCC210561)
* Century Complete
• Selkane, Aziza assigned the task to Selkane, Aziza 2/1/2021 1:52 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 11, 2021 5:00 PM
1/28/2021 3:16 PM

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•
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• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Williams Grove Phase 1
NC Reference No.*
NCG01-2021-0561
Certificate of
NCC210561
Coverage (COC)
No. *
Invoice Date
1/28/2021
Initial Invoice No.
NCC210561-2021
Initial Fee
$ 100.00
Invoice Due Date
2/27/2021
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
2/1/2021
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
Check Number*
19221
NOI Tracking No.
42021
TracWng ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-NASI-k2021-Williams Grove Phase 1