NCC220930_NOI 82473 Payment Verification_20220301

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/27/2022 2:28:06 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/28/2022 7:29:56 AM (Review - NOI 82473 Lions Gate)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/27/2022 2:28 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 2, 2022 5:00 PM
2/27/2022 2:28 PM
by Workflow 2/28/2022 7:30:04 AM (Workflow Start Event)
Submit by EADS\aselkane 3/1/2022 10:58:36 AM (Payment Verification for NCC220930)
* Mario Cotto
• EADS\aselkane assigned the task to EADS\aselkane 3/1/2022 10:57 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 11, 2022 5:00 PM
2/28/2022 7:30 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Lions Gate
Lot Numbers
(If listed on the eNOI)
Lot's 1, 2, 3, 4, 5, 6
NC Reference No.*
NCG01-2022-0930
Certificate of
NCC220930
Coverage (COC) No.*
Invoice Date
2/28/2022
Initial Invoice No.
NCC220930-2022
Initial Fee
$ 100.00
Invoice Due Date
3/30/2022
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
3/1/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
620551487
Transaction Number*
NOI Tracking No.
82473
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-LINCO-2022-1-ions Gate