NCC220013_NOI 76557 Payment Verification_20220107

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/28/2021 10:14:43 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/3/2022 10:38:17 AM (Review - Construction NOI 76557)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/28/2021 10:15 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 30, 2021 5:00
PM 12/28/2021 10:15 AM
Submit by Selkane, Aziza 1/7/2022 9:45:11 AM (Payment Verification for NCC220013)
P Grounded Engineering Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 1/7/2022 9:44 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 14, 2022 5:00 PM
1 /3/2022 10:38 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Efland EMS Station
Lot Numbers
(If listed on the eNOI)
1
NC Reference No.*
NCG01-2022-0013
Certificate of
NCC220013
Coverage (COC) No.*
Invoice Date
1/3/2022
Initial Invoice No.
NCC220013-2022
Initial Fee
$ 100.00
Invoice Due Date
2/2/2022
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*
Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
1/7/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
1118
NOI Tracking No.
76557
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ORANG-2022-Efland EMS Station