NCC221983_NOI 92013 Payment Verification_20220725

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/25/2022 6:30:54 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 5/25/2022 8:28:54 AM (Review - NOI 92013 Ferguson RV Park)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 5/25/2022 6:31 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 30, 2022 5:00 PM
5/25/2022 6:31 AM
by Workflow 5/25/2022 8:29:02 AM (Workflow Start Event)
Submit by Tran, Kieu M 7/25/2022 1:48:58 PM (Payment Verification for NCC221983)
F Hoopers Grading
• Tran, Kieu M assigned the task to Tran, Kieu M 7/25/2022 1:48 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 6, 2022 5:00 PM
5/25/2022 8:29 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Ferguson RV Park
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1983
Certificate of NCC221983
Coverage (COC) No.*
Invoice Date 5/25/2022
Initial Invoice No. NCC221983-2022
Initial Fee $ 100.00
Invoice Due Date 6/24/2022
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 7/25/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 644230250
Transaction Number*
NOI Tracking No. 92013
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JACKS-2022-Ferguson RV Park