NCC221487_NOI 88173 Payment Verification_20220418

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/13/2022 2:31:16 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/14/2022 8:10:28 AM (Review - NOI 88173 Triple Crown)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/13/2022 2:31 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 18, 2022 5:00 PM
4/13/2022 2:31 PM
by Workflow 4/14/2022 8:10:34 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/18/2022 9:45:44 AM (Payment Verification for NCC221487)
F Landon Walls
• Selkane, Aziza assigned the task to Selkane, Aziza 4/18/2022 9:44 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 26, 2022 5:00 PM
4/14/2022 8:10 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Triple Crown
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2022-1487
Certificate of
NCC221487
Coverage (COC) No.*
Invoice Date
4/14/2022
Initial Invoice No.
NCC221487-2022
Initial Fee
$ 100.00
Invoice Due Date
5/14/2022
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
4/18/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
ePayment
628403921
Transaction Number*
NOI Tracking No.
88173
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-DURHA-2022-Triple Crown