NCC212842_NOI 52312 Payment Verification_20210511

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 5/6/2021 4:30:58 PM (NCG01 NOI Submission)
Approve by Clark, Paul B 5/10/2021 9:52:21 AM (Review- Construction NOI 52312)
• The task was assigned to Clark, Paul B by round robin distribution 5/6/2021 4:31 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 10, 2021 5:00 PM
5/6/2021 4:31 PM
Submit by Selkane, Aziza 5/11/2021 10:48:59 AM (Payment Verification for NCC212842)
* Matthew G Butler
• Selkane, Aziza assigned the task to Selkane, Aziza 5/11/2021 10:48 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 21, 2021 5:00 PM
5/10/2021 9:52 AM

�.• �,+STA7E o�
VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Name
Cowlord Mitigation Project
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2021-2842
Certificate of
NCC212842
Coverage (COC)
No.*
Invoice Date
5/10/2021
Initial Invoice No.
NCC212842-2021
Initial Fee
$ 100.00
Invoice Due Date
6/9/2021
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
5/11 /2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
IT electronic
f check
f Other
ePayment
572042831
Transaction
Number*
NOI Tracking No.
52312
TracWng ID referenced upon subrrittal
This is an Express
IT No
Review Project
r Yes
Project Tracking ID
NCC-ONSLO-2021-CowFord Mitigation Project