NCC221401_NOI 86590 Payment Verification_20220408

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/6/2022 1:33:20 PM (NCG01 NOI Submission)
Approve by Clark, Paul B 4/7/2022 1:07:06 PM (Review - NOI 86590 Brookberry Phase 9)
• Broussard, Brooklyn C reassigned the task to Clark, Paul B 4/7/2022 6:34 AM
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/6/2022 1:33 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 11, 2022 5:00 PM
4/6/2022 1:33 PM
by Workflow 4/7/2022 1:07:14 PM (Workflow Start Event)
Submit by Selkane, Aziza 4/8/2022 10:56:00 AM (Payment Verification for NCC221401)
F Quality Oil Company
• Selkane, Aziza assigned the task to Selkane, Aziza 4/8/2022 10:55 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 19, 2022 5:00 PM
4/7/2022 1:07 PM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Brookberry Phase 9
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1401
Certificate of NCC221401
Coverage (COC) No.*
Invoice Date 4/7/2022
Initial Invoice No. NCC221401-2022
Initial Fee $ 100.00
Invoice Due Date 5/7/2022
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 4/8/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 627200103
Transaction Number*
NOI Tracking No. 86590
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2022-Brookberry Phase 9