NCC212698_NOI 51941 Payment Verification_20210510

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 5/3/2021 10:32:10 AM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 5/3/2021 4:07:01 PM (Review- Construction NOI 51941)
. The task was assigned to Garcia, Lauren V by round robin distribution 5/3/2021 10:32 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 5, 2021 5:00 PM
5/3/2021 10:32 AM
Submit by Selkane, Aziza 5/10/2021 8:40:49 AM (Payment Verification for NCC212698)
* Nathan Rose
• Selkane, Aziza assigned the task to Selkane, Aziza 5/10/2021 8:40 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 14, 2021 5:00 PM
5/3/2021 4:07 PM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
NATHAN ROSE
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-2698
Certificate of
NCC212698
Coverage (COC)
No.*
Invoice Date
5/3/2021
Initial Invoice No.
NCC212698-2021
Initial Fee
$ 100.00
Invoice Due Date
6/2/2021
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* IT Payment Received.
f Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
5/10/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
571643001
Transaction
Number*
NOI Tracking No.
51941
TracWng ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-CHERO-2021-NATHAN ROSE