NCC221306_NOI 86226 Payment Verification_20220405

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/1/2022 3:59:52 PM (NCG01 NOI Submission)
Approve by EADS\bcbroussard 4/4/2022 9:06:34 AM (Review - NOI 86226 Connector Road)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/1/2022 4:00 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 6, 2022 5:00 PM
4/1/2022 4:00 PM
by Workflow 4/4/2022 9:06:46 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/5/2022 5:22:34 PM (Payment Verification for NCC221306)
F Withers Ravenel Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 4/5/2022 5:21 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 16, 2022 5:00 PM
4/4/2022 9:06 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Connector Road
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2022-1306
Certificate of NCC221306
Coverage (COC) No.*
Invoice Date 4/4/2022
Initial Invoice No. NCC221306-2022
Initial Fee $ 100.00
Invoice Due Date 5/4/2022
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 4/5/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 626654419
Transaction Number*
NOI Tracking No. 86226
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MOORE-2022-Connector Road