NCC221469_NOI 88051 Payment Verification_20220414

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/12/2022 12:57:34 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/13/2022 7:34:17 AM (Review - NOI 88051 870 Ravens Lane)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/12/2022 12:57 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 15, 2022 5:00 PM
4/12/2022 12:57 PM
by Workflow 4/13/2022 7:34:30 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/14/2022 7:53:04 AM (Payment Verification for NCC221469)
F Jonathan Slaughter
• Selkane, Aziza assigned the task to Selkane, Aziza 4/14/2022 7:52 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 25, 2022 5:00 PM
4/13/2022 7:34 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name 870 Ravens Lane
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1469
Certificate of NCC221469
Coverage (COC) No.*
Invoice Date 4/13/2022
Initial Invoice No. NCC221469-2022
Initial Fee $ 100.00
Invoice Due Date 5/13/2022
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 4/14/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 628189910
Transaction Number*
NOI Tracking No. 88051
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2022-870 Ravens Lane