NCC213648_NOI 56586 Payment Verification_20210617

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 6/15/2021 4:17:09 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/16/2021 10:10:37 AM (Review- Construction NOI 56586)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/15/2021 4:18 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 17, 2021 5:00 PM.
The priority is: High 6/15/2021 4:18 PM
Submit by Selkane, Aziza 6/17/2021 9:16:02 AM (Payment Verification for NCC213648)
* Kevin T. Mason
• Selkane, Aziza assigned the task to Selkane, Aziza 6/17/2021 9:15 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 28, 2021 5:00 PM. The
priority is: High 6/16/2021 10:11 AM

SfA7$ q,
•
V.
• yrnent Verification
NORTH CAROLINA
Envtro me tufQuuftty
Project Name
STR 295 to Peach Valley, Cliffside to STR 79 OPGW Replacement
Lot Numbers
(If listed on the eN0l)
N/A
NC Reference No.*
NCG01-2021-3648
Certificate of
NCC213648
Coverage (COC)
No.*
Invoice Date
6/16/2021
Initial Invoice No.
NCC213648-2021
Initial Fee
$ 100.00
Invoice Due Date
7/16/2021
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* r Payment Received.
r Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
6/17/2021
Received*
(Or, if not received, date rejected for no payrrent)
Method of Payment*
r electronic
r check
r Other
ePayment
577810666
Transaction
Number*
NOI Tracking No.
56586
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes
Project Tracking ID
NCC-CLEVE-2021-STR 295 to Peach Valley, Cliffside to STR 79 OPGW
Replacement