NCC210567_NOI 42050 Payment Verification_20210204

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/28/2021 11:38:05 AM (NCG01 NOI Submission)
Approve by Meloy, Michael 1/29/2021 8:06:26 AM (Review- Construction NO142050)
• Gamble, Aana C reassigned the task to Meloy, Michael 1/28/2021 11:42 AM
* PROJECT ALF
• The task was assigned to Gamble, Aana C by round robin distribution 1/28/2021 11:39 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 1, 2021 5:00
PM 1/28/2021 11:39 AM
Submit by Selkane, Aziza 2/4/2021 2:14:23 PM (Payment Verification for NCC210567)
* David E Looper & Company, Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 2/4/2021 2:13 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 12, 2021 5:00 PM
1 /29/2021 8:08 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Project Alf
NC Reference No.*
NCG01-2021-0567
Certificate of
NCC210567
Coverage (COC)
No. *
Invoice Date
1/29/2021
Initial Invoice No.
NCC210567-2021
Initial Fee
$ 100.00
Invoice Due Date
2/28/2021
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
2/4/2021
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*
117983
NOI Tracking No.
42050
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CATAW-2021-Project Alf