NCC221873_NOI 91176 Payment Verification_20220518

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/13/2022 4:01:39 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 5/16/2022 8:58:20 AM (Review - NOI 91176 Vernon Farms Phase 3, Section 1,
Tracts 3 & 4)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 5/13/2022 4:02 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 18, 2022 5:00 PM
5/13/2022 4:02 PM
by Workflow 5/16/2022 8:58:26 AM (Workflow Start Event)
Submit by Selkane, Aziza 5/18/2022 12:57:36 PM (Payment Verification for NCC221873)
F BSC Holdings
• Selkane, Aziza assigned the task to Selkane, Aziza 5/18/2022 12:56 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 27, 2022 5:00 PM
5/16/2022 8:58 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Vernon Farms Phase 3, Section 1, Tracts 3 & 4
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1873
Certificate of NCC221873
Coverage (COC) No.*
Invoice Date 5/16/2022
Initial Invoice No. NCC221873-2022
Initial Fee $ 100.00
Invoice Due Date 6/15/2022
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 5/18/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 634112719
Transaction Number*
NOI Tracking No. 91176
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2022-Vernon Farms Phase 3, Section 1, Tracts 3 & 4