NCC221395_NOI 86658 Payment Verification_20220408

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/7/2022 8:17:09 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/7/2022 9:18:26 AM (Review - NOI 86658 Dairi-O Restaurant)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/7/2022 8:17 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 12, 2022 5:00 PM
4/7/2022 8:17 AM
by Workflow 4/7/2022 9:18:32 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/8/2022 10:03:30 AM (Payment Verification for NCC221395)
* Jennifer Harpster
• Selkane, Aziza assigned the task to Selkane, Aziza 4/8/2022 10:02 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 19, 2022 5:00 PM
4/7/2022 9:18 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Dairi-O Restaurant
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1395
Certificate of NCC221395
Coverage (COC) No.*
Invoice Date 4/7/2022
Initial Invoice No. NCC221395-2022
Initial Fee $ 100.00
Invoice Due Date 5/7/2022
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 4/8/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 627154223
Transaction Number*
NOI Tracking No. 86658
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CALDW-2022-Dairi-O Restaurant