NCC212710_NOI 51872 Payment Verification_20210505

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/30/2021 3:40:06 PM (NCG01 NOI Submission)
Approve by Clark, Paul B 5/4/2021 12:36:30 PM (Review- Construction NOI 51872)
• The task was assigned to Clark, Paul B by round robin distribution 4/30/2021 3:40 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 4, 2021 5:00 PM
4/30/2021 3:40 PM
Submit by Selkane, Aziza 5/5/2021 12:28:20 PM (Payment Verification for NCC212710)
* Michael McLamb
• Selkane, Aziza assigned the task to Selkane, Aziza 5/5/2021 12:27 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 15, 2021 5:00 PM
5/4/2021 12:36 PM

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VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllty
Project Name
Smithfield KOA
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-2710
Certificate of
NCC212710
Coverage (COC)
No.*
Invoice Date
5/4/2021
Initial Invoice No.
NCC212710-2021
Initial Fee
$ 100.00
Invoice Due Date
6/3/2021
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 eNOI at this step.
Payment Received* r Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
5/5/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
f check
f Other
ePayment
571268301
Transaction
Number*
NOI Tracking No.
51872
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-JOHNS-2021-Smithfield KOA