NCC204568_NOI 32803 Payment Verification_20201012

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 10/8/2020 2:44:51 PM (NCG01 NOI Submission)
Approve by Meloy, Michael 10/9/2020 8:00:09 AM (Review- Construction NOI 32803)
• Garcia, Lauren V reassigned the task to Meloy, Michael 10/8/2020 3:54 PM
• The task was assigned to Garcia, Lauren V by round robin distribution 10/8/2020 2:45 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 12, 2020 5:00
PM 10/8/2020 2:45 PM
Submit by Selkane, Aziza 10/12/2020 9:02:00 AM (Payment Verification for NCC204568)
* LKC Engineering PLLC
• Selkane, Aziza assigned the task to Selkane, Aziza 10/12/2020 9:00 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 20, 2020 5:00
PM 10/9/2020 8:00 AM

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•
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• yrnent Verification
NORTH CAROLINA
Envlro me tufQuuftty
Project Name
Mid Carolina Gastroenterology Expansion
NC Reference No.*
NCG01-2020-4568
Certificate of
NCC204568
Coverage (COC)
No. *
Invoice Date
10/9/2020
Initial Invoice No.
NCC204568-2020
Initial Fee
$ 100.00
Invoice Due Date
11/8/2020
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 Payment
10/12/2020
Received *
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
f Other
ePayment
539350862
Transaction
Number*
NOI Tracking No.
32803
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-LEE-2020-Mid Carolina Gastroenterology Expansion