NCC222105_NOI 93458 Payment Verification_20220607

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/3/2022 1:17:14 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/6/2022 6:53:13 AM (Review - NOI 93458 Bailey's Forest Phase III)
F
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/3/2022 1:17 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 8, 2022 5:00 PM
6/3/2022 1:17 PM
by Workflow 6/6/2022 6:53:24 AM (Workflow Start Event)
Submit by Selkane, Aziza 6/7/2022 9:09:29 AM (Payment Verification for NCC222105)
F South Creek Construction Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 6/7/2022 9:08 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 18, 2022 5:00 PM
6/6/2022 6:53 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Bailey's Forest Phase III
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2105
Certificate of NCC222105
Coverage (COC) No.*
Invoice Date 6/6/2022
Initial Invoice No. NCC222105-2022
Initial Fee $ 100.00
Invoice Due Date 7/6/2022
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 6/7/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 637104535
Transaction Number*
NOI Tracking No. 93458
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2022-Bailey's Forest Phase III