NCC210750_NOI 42834 Payment Verification_20210208

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 2/4/2021 1:49:35 PM (NCG01 NOI Submission)
Approve by Clark, Paul 2/5/2021 1:27:53 PM (Review- Construction NOI 42834)
• The task was assigned to Clark, Paul by round robin distribution 2/4/2021 1:50 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 8, 2021 5:00
PM 2/4/2021 1:50 PM
Submit by Selkane, Aziza 2/8/2021 9:44:29 AM (Payment Verification for NCC210750)
* James Bruce
• Selkane, Aziza assigned the task to Selkane, Aziza 2/8/2021 9:43 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 19, 2021 5:00 PM
2/5/2021 1:29 PM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Pea Ridge Lot 1
NC Reference No.*
NCG01-2021-0750
Certificate of
NCC210750
Coverage (COC)
No. *
Invoice Date
2/5/2021
Initial Invoice No.
NCC210750-2021
Initial Fee
$ 100.00
Invoice Due Date
3/7/2021
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
2/8/2021
Received *
(Or, if not received, date rejected for no paynent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
557183188
Transaction
Number*
NOI Tracking No.
42834
Tracking ID referenced upon subnittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CHATF-1-2021-Pea Ridge Lot 1