NCC221116_NOI 84327 Payment Verification_20220322

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/16/2022 10:12:17 AM (NCG01 NOI Submission)
Approve by Clark, Paul B 3/19/2022 9:21:32 AM (Review - NOI 84327 Samaritan's Purse Inn)
• The task was assigned to Clark, Paul B by round robin distribution 3/16/2022 10:12 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 21, 2022 5:00 PM.
The priority is: High 3/16/2022 10:12 AM
by Workflow 3/19/2022 9:21:40 AM (Workflow Start Event)
Submit by Selkane, Aziza 3/22/2022 9:01:22 AM (Payment Verification for NCC221116)
F Samaritan's Purse
• Selkane, Aziza assigned the task to Selkane, Aziza 3/22/2022 9:00 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 2, 2022 5:00 PM. The
priority is: High 3/19/2022 9:21 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Samaritan's Purse Inn
Lot Numbers
(If listed on the eNOI)
PID 1401646
NC Reference No.*
NCG01-2022-1116
Certificate of
NCC221116
Coverage (COC) No.*
Invoice Date
3/19/2022
Initial Invoice No.
NCC221116-2022
Initial Fee
$ 100.00
Invoice Due Date
4/18/2022
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
3/22/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
624356512
Transaction Number*
NOI Tracking No.
84327
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-WILKE-2022-Samaritan's Purse Inn