NCC221690_NOI 90052 Payment Verification_20220503

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/29/2022 11:28:29 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 5/2/2022 7:13:54 AM (Review - NOI 90052 Old Fork Village)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/29/2022 11:28 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 4, 2022 5:00 PM
4/29/2022 11:28 AM
by Workflow 5/2/2022 7:14:00 AM (Workflow Start Event)
Submit by Selkane, Aziza 5/3/2022 12:41:59 PM (Payment Verification for NCC221690)
* Adam Stewart
• Selkane, Aziza assigned the task to Selkane, Aziza 5/3/2022 12:41 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 13, 2022 5:00 PM
5/2/2022 7:14 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Old Fork Village
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1690
Certificate of NCC221690
Coverage (COC) No.*
Invoice Date 5/2/2022
Initial Invoice No. NCC221690-2022
Initial Fee $ 100.00
Invoice Due Date 6/1/2022
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 5/3/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 631576534
Transaction Number*
NOI Tracking No. 90052
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-STOKE-2022-Old Fork Village