NCC220693_NOI 80870 Payment Verification_20220211

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/8/2022 9:44:37 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/8/2022 9:59:57 AM (Review - NOI 80870 Blue Moon Restaurant)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/8/2022 9:45 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 10, 2022 5:00
PM 2/8/2022 9:45 AM
by Workflow 2/8/2022 10:00:05 AM (Workflow Start Event)
Submit by EADS\aselkane 2/11/2022 9:11:39 AM (Payment Verification for NCC220693)
F Blue Moon Five2, LLC
• EADS\aselkane assigned the task to EADS\aselkane 2/11/2022 9:11 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 22, 2022 5:00 PM
2/8/2022 10:00 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Blue Moon Restaurant
Lot Numbers
(If listed on the eNOI)
Lots 11-15, Block B-1, Section 3, Roanoke Shores, Nags Head
NC Reference No.*
NCG01-2022-0693
Certificate of
NCC220693
Coverage (COC) No.*
Invoice Date
2/8/2022
Initial Invoice No.
NCC220693-2022
Initial Fee
$ 100.00
Invoice Due Date
3/10/2022
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
2/11/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
1015
NOI Tracking No.
80870
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-DARE-2022-Blue Moon Restaurant