NCC221214_NOI 85001 Payment Verification_20220329

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/24/2022 4:04:34 PM (NCG01 NOI Submission)
Approve by EADS\amorman1 3/26/2022 11:08:18 PM (Review - NOI 85001 Hampton Medical Office Building)
• Clark, Paul B reassigned the task to Morman, Alaina 3/25/2022 3:05 PM
IN thx
• The task was assigned to Clark, Paul B by round robin distribution 3/24/2022 4:04 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 29, 2022 5:00 PM
3/24/2022 4:04 PM
by Workflow 3/26/2022 11:08:26 PM (Workflow Start Event)
Submit by Selkane, Aziza 3/29/2022 10:01:24 AM (Payment Verification for NCC221214)
0 Kevin S. Caldwell
• Selkane, Aziza assigned the task to Selkane, Aziza 3/29/2022 10:00 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 9, 2022 5:00 PM
3/26/2022 11:08 PM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Hampton Medical Office Building
Lot Numbers
(If listed on the eNOI)
10314 Hamptons Park Drive
NC Reference No.*
NCG01-2022-1214
Certificate of
NCC221214
Coverage (COC) No.*
Invoice Date
3/26/2022
Initial Invoice No.
NCC221214-2022
Initial Fee
$ 100.00
Invoice Due Date
4/25/2022
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
3/29/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
625384453
Transaction Number*
NOI Tracking No.
85001
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2022-Hampton Medical Office Building