NCC204304_NOI 32066 Payment Verification_20200929

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/25/2020 4:47:04 PM (NCG01 NOI Submission)
Approve by Clark, Paul 9/28/2020 2:46:46 PM (Review- Construction NOI 32066)
• Garcia, Lauren V reassigned the task to Clark, Paul 9/28/2020 9:22 AM
• The task was assigned to Garcia, Lauren V by round robin distribution 9/25/2020 4:47 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 29, 2020 5:00
PM. The priority is: High 9/25/2020 4:47 PM
Submit by Selkane, Aziza 9/29/2020 10:24:14 AM (Payment Verification for NCC204304)
* Vincent O. Burgess IV
• Selkane, Aziza assigned the task to Selkane, Aziza 9/29/2020 10:20 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 9, 2020 5:00 PM.
The priority is: High 9/28/2020 2:47 PM

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•
V.
• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Burgess Corporation
NC Reference No.*
NCG01-2020-4304
Certificate of
NCC204304
Coverage (COC)
No. *
Invoice Date
9/28/2020
Initial Invoice No.
NCC204304-2020
Initial Fee
$ 100.00
Invoice Due Date
10/28/2020
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
9/29/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r^ NO PAYMENT RECEIVED
f Other
ePayment
537610425
Transaction
Number*
NOI Tracking No.
32066
Tracking ID referenced upon subrrittal
This is an Express
f No
Review Project
r Yes
Project Tracking ID
NCC-NEW I-1-2020-Burgess Corporation