NCC221623_NOI 89070 Payment Verification_20220427

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/25/2022 6:00:38 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/26/2022 8:34:02 AM (Review - NOI 89070 Lots 4 and 5 Smith Crossing Site
Prep Package)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/25/2022 6:01 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 28, 2022 5:00 PM
4/25/2022 6:01 PM
by Workflow 4/26/2022 8:34:09 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/27/2022 9:50:19 AM (Payment Verification for NCC221623)
* Jeff L Smith
• Selkane, Aziza assigned the task to Selkane, Aziza 4/27/2022 9:49 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 7, 2022 5:00 PM
4/26/2022 8:34 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Lots 4 and 5 Smith Crossing Site Prep Package
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1623
Certificate of NCC221623
Coverage (COC) No.*
Invoice Date 4/26/2022
Initial Invoice No. NCC221623-2022
Initial Fee $ 100.00
Invoice Due Date 5/26/2022
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 4/27/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 630681339
Transaction Number*
NOI Tracking No. 89070
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2022-Lots 4 and 5 Smith Crossing Site Prep Package