NCC201820_Payment Verification_20200511

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/29/2020 12:40:33 PM (NCG01 NOI Submission)
Approve by Farkas, Jim J 5/4/2020 8:13:50 AM (Review- Construction NOI 24949)
• Clark, Paul reassigned the task to Farkas, Jim J 4/29/2020 12:47 PM
* hey Jim, for you
• The task was assigned to Clark, Paul by round robin distribution 4/29/2020 12:40 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 1, 2020 5:00 PM
4/29/2020 12:40 PM
Submit by Garcia, Lauren V 5/11/2020 1:02:16 PM (Payment Verification for NCC201820)
* Beach Bum LLC
• Garcia, Lauren V assigned the task to Garcia, Lauren V 5/11/2020 1:00 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 15, 2020 5:00 PM
5/4/2020 8:13 AM

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•
V.
• yrnent Verification
NORTH CAROLINA
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Project Tracking ID*
NCC-BRUNS-2020-Beach Bum
NC Reference No.*
NCG01-2020-1820
Certificate of
NCC201820
Coverage (COC)
No.*
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.
r Payment NOT RECEIVED.
Date Payment
5/11/2020
Received*
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
Check Number*
1017
NOI Tracking No.
24949
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes