NCC223019_NOI 102747 Payment Verification_20220825

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/23/2022 10:20:31 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/23/2022 10:30:54 AM (Review - NOI 102747 Randolph Avenue Residential
Project)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/23/2022 10:22 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 26, 2022 5:00
PM 8/23/2022 10:22 AM
by Workflow 8/23/2022 10:31:09 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/25/2022 10:01:11 AM (Payment Verification for NCC223019)
F Gayle W Osborn
• Tran, Kieu M assigned the task to Tran, Kieu M 8/25/2022 10:00 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 4, 2022 5:00 PM
8/23/2022 10:31 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Randolph Avenue Residential Project
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3019
Certificate of NCC223019
Coverage (COC) No.*
Invoice Date 8/23/2022
Initial Invoice No. NCC223019-2022
Initial Fee $ 100.00
Invoice Due Date 9/22/2022
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 8/25/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 649927678
Transaction Number*
NOI Tracking No. 102747
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BUNCO-2022-Randolph Avenue Residential Project