NCC222079_NOI 93300 Payment Verification_20220604

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/1/2022 3:11:32 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/2/2022 7:51:45 AM (Review - NOI 93300 Project Chippy)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/1/2022 3:12 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 6, 2022 5:00 PM
6/1/2022 3:12 PM
by Workflow 6/2/2022 7:51:53 AM (Workflow Start Event)
Submit by Selkane, Aziza 6/4/2022 5:10:51 PM (Payment Verification for NCC222079)
F Kevin Little
• Selkane, Aziza assigned the task to Selkane, Aziza 6/4/2022 5:09 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 14, 2022 5:00 PM
6/2/2022 7:51 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Project Chippy
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2022-2079
Certificate of
NCC222079
Coverage (COC) No.*
Invoice Date
6/2/2022
Initial Invoice No.
NCC222079-2022
Initial Fee
$ 100.00
Invoice Due Date
7/2/2022
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
6/4/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
ePayment
636457282
Transaction Number*
NOI Tracking No.
93300
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CLEVE-2021-Project Chippy