NCC222193_NOI 94021 Payment Verification_20220613

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/10/2022 12:47:08 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/13/2022 7:17:45 AM (Review - NOI 94021 Moon Pine Agroforest and Village)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/10/2022 12:48 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 15, 2022 5:00 PM
6/10/2022 12:48 PM
by Workflow 6/13/2022 7:17:52 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/13/2022 10:20:06 AM (Payment Verification for NCC222193)
F Robert Tucker
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/13/2022 10:19 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 25, 2022 5:00 PM
6/13/2022 7:17 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Moon Pine Agroforest and Village
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2193
Certificate of NCC222193
Coverage (COC) No.*
Invoice Date 6/13/2022
Initial Invoice No. NCC222193-2022
Initial Fee $ 100.00
Invoice Due Date 7/13/2022
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 6/13/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 638169560
Transaction Number*
NOI Tracking No. 94021
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2022-Moon Pine Agroforest and Village