NCC222070_NOI 93250 Payment Verification_20220604

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/1/2022 10:13:19 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/1/2022 10:33:25 AM (Review - NOI 93250 Countryside Acres Lots 1 - 15)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/1/2022 10:13 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 6, 2022 5:00 PM
6/1/2022 10:13 AM
by Workflow 6/1/2022 10:33:33 AM (Workflow Start Event)
Submit by Selkane, Aziza 6/4/2022 7:24:44 PM (Payment Verification for NCC222070)
F Kevin Powell
• Selkane, Aziza assigned the task to Selkane, Aziza 6/4/2022 7:24 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 13, 2022 5:00 PM
6/1/2022 10:33 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Countryside Acres Lots 1 - 15
Lot Numbers
(If listed on the eNOI)
1-15
NC Reference No.*
NCG01-2022-2070
Certificate of
NCC222070
Coverage (COC) No.*
Invoice Date
6/1/2022
Initial Invoice No.
NCC222070-2022
Initial Fee
$ 100.00
Invoice Due Date
7/1/2022
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
6/4/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
636503133
Transaction Number*
NOI Tracking No.
93250
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-SAMPS-2022-Countryside Acres Lots 1 - 15