NCC221928_NOI 91612 Payment Verification_20220526

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/19/2022 10:24:02 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 5/20/2022 7:39:18 AM (Review - NOI 91612 Rocky Run Road Shops)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 5/19/2022 10:24 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 24, 2022 5:00 PM.
The priority is: High 5/19/2022 10:24 AM
by Workflow 5/20/2022 7:39:27 AM (Workflow Start Event)
Submit by Selkane, Aziza 5/26/2022 10:19:57 AM (Payment Verification for NCC221928)
F Bailey & Fuller Properties, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 5/26/2022 10:19 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 1, 2022 5:00 PM. The
priority is: High 5/20/2022 7:39 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Rocky Run Road Shops
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2022-1928
Certificate of
NCC221928
Coverage (COC) No.*
Invoice Date
5/20/2022
Initial Invoice No.
NCC221928-2022
Initial Fee
$ 100.00
Invoice Due Date
6/19/2022
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
5/26/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
11685
NOI Tracking No.
91612
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-ONSLO-2022-Rocky Run Road Shops