NCC220182_NOI 77829 Payment Verification_20220110

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/7/2022 11:37:55 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/10/2022 7:09:51 AM (Review - Construction NOI 77829)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/7/2022 11:38 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 11, 2022 5:00
PM 1/7/2022 11:38 AM
Submit by Selkane, Aziza 1/10/2022 9:36:15 AM (Payment Verification for NCC220182)
P Medical Office Investment, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 1/10/2022 9:35 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 21, 2022 5:00 PM
1/10/2022 7:10 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name 2051 Ralph Stephens Rd. Medical Office Complex
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-0182
Certificate of NCC220182
Coverage (COC) No.*
Invoice Date 1/10/2022
Initial Invoice No. NCC220182-2022
Initial Fee $ 100.00
Invoice Due Date 2/9/2022
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 1/10/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 612310759
Transaction Number*
NOI Tracking No. 77829
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WAKE-2022-2051 Ralph Stephens Rd. Medical Office Complex