NCC222668_NOI 98157 Payment Verification_20220725

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/21/2022 9:50:34 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/22/2022 8:22:42 AM (Review - NOI 98157 Summit Medical Office Building)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/21/2022 9:50 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 26, 2022 5:00 PM
7/21/2022 9:50 PM
by Workflow 7/22/2022 8:23:00 AM (Workflow Start Event)
Submit by Tran, Kieu M 7/25/2022 2:11:20 PM (Payment Verification for NCC222668)
F Chris Wilson
• Tran, Kieu M assigned the task to Tran, Kieu M 7/25/2022 2:11 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 2, 2022 5:00 PM
7/22/2022 8:23 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Summit Medical Office Building
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2668
Certificate of NCC222668
Coverage (COC) No.*
Invoice Date 7/22/2022
Initial Invoice No. NCC222668-2022
Initial Fee $ 100.00
Invoice Due Date 8/21/2022
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 7/25/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 644576015
Transaction Number*
NOI Tracking No. 98157
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-GASTO-2022-Summit Medical Office Building