NCC220097_NOI 77573 Payment Verification_20220106

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/5/2022 7:34:52 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/5/2022 8:37:47 AM (Review - Construction NOI 77573)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/5/2022 7:35 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 7, 2022 5:00 PM
1/5/2022 7:35 AM
Submit by Selkane, Aziza 1/6/2022 9:03:06 AM (Payment Verification for NCC220097)
P Daniel Bree
• Selkane, Aziza assigned the task to Selkane, Aziza 1/6/2022 9:01 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 16, 2022 5:00 PM
1/5/2022 8:37 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name 2067 SIMPLICITY ROAD
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-0097
Certificate of NCC220097
Coverage (COC) No.*
Invoice Date 1/5/2022
Initial Invoice No. NCC220097-2022
Initial Fee $ 100.00
Invoice Due Date 2/4/2022
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 1/6/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 611463730
Transaction Number*
NOI Tracking No. 77573
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CABAR-2022-2067 SIMPLICITY ROAD