NCC221894_NOI 91356 Payment Verification_20220517

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/17/2022 8:39:14 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 5/17/2022 8:43:06 AM (Review - NOI 91356 Governors Club - Lot 663)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 5/17/2022 8:39 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 20, 2022 5:00 PM
5/17/2022 8:39 AM
by Workflow 5/17/2022 8:43:13 AM (Workflow Start Event)
Submit by Selkane, Aziza 5/17/2022 9:12:03 AM (Payment Verification for NCC221894)
F Afshin Hosseinpour
Per e-report 5/12/2022, e-payment was received for NCC221823. Info were wrong, so permittee
needed to submit a new COC, which is NCC221894. Same payment was used for NCC221894 since
correction was done within a week. Permittee is aware that NCC221823 needs to be terminated.
• Selkane, Aziza assigned the task to Selkane, Aziza 5/17/2022 9:01 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 28, 2022 5:00 PM
5/17/2022 8:43 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Governors Club - Lot 663
Lot Numbers
(If listed on the eNOI)
663
NC Reference No.*
NCG01-2022-1894
Certificate of
NCC221894
Coverage (COC) No.*
Invoice Date
5/17/2022
Initial Invoice No.
NCC221894-2022
Initial Fee
$ 100.00
Invoice Due Date
6/16/2022
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
5/17/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
633119087
Transaction Number*
NOI Tracking No.
91356
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2022-Governors Club - Lot 663