NCC221922_NOI 91570 Payment Verification_20220520

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/18/2022 5:37:19 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 5/19/2022 9:36:23 PM (Review - NOI 91570 Long Grove Subdivision)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 5/18/2022 5:37 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 23, 2022 5:00 PM
5/18/2022 5:37 PM
by Workflow 5/19/2022 9:36:33 PM (Workflow Start Event)
Submit by Selkane, Aziza 5/20/2022 10:25:29 AM (Payment Verification for NCC221922)
F Richard Admani
• Selkane, Aziza assigned the task to Selkane, Aziza 5/20/2022 10:24 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 30, 2022 5:00 PM
5/19/2022 9:36 PM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Long Grove Subdivision
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1922
Certificate of NCC221922
Coverage (COC) No.*
Invoice Date 5/19/2022
Initial Invoice No. NCC221922-2022
Initial Fee $ 100.00
Invoice Due Date 6/18/2022
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 5/20/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 634574539
Transaction Number*
NOI Tracking No. 91570
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CATAW-2022-Long Grove Subdivision