NCC222089_NOI 93350 Payment Verification_20220604

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/2/2022 10:08:36 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/2/2022 10:15:54 AM (Review - NOI 93350 HARRY ROBERSON)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/2/2022 10:10 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 7, 2022 5:00 PM
6/2/2022 10:10 AM
by Workflow 6/2/2022 10:15:57 AM (Workflow Start Event)
Submit by Selkane, Aziza 6/4/2022 7:56:20 PM (Payment Verification for NCC222089)
* James J Harden III
• Selkane, Aziza assigned the task to Selkane, Aziza 6/4/2022 7:55 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 14, 2022 5:00 PM
6/2/2022 10:16 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name HARRY ROBERSON
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2089
Certificate of NCC222089
Coverage (COC) No.*
Invoice Date 6/2/2022
Initial Invoice No. NCC222089-2022
Initial Fee $ 100.00
Invoice Due Date 7/2/2022
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 636523093
Transaction Number*
NOI Tracking No. 93350
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-POLK-2022-HARRY ROBERSON