NCC222132_NOI 93656 Payment Verification_20220609

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/7/2022 12:03:28 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/8/2022 6:45:30 AM (Review - NOI 93656 R-2577A Reidsville Road
Improvements Part 1)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/7/2022 12:04 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 10, 2022 5:00 PM
6/7/2022 12:04 PM
by Workflow 6/8/2022 6:45:40 AM (Workflow Start Event)
Submit by Selkane, Aziza 6/9/2022 2:37:21 PM (Payment Verification for NCC222132)
* Patrick W Sizemore
• Selkane, Aziza assigned the task to Selkane, Aziza 6/9/2022 2:36 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 20, 2022 5:00 PM
6/8/2022 6:45 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name R-2577A Reidsville Road Improvements Part 1
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2132
Certificate of NCC222132
Coverage (COC) No.*
Invoice Date 6/8/2022
Initial Invoice No. NCC222132-2022
Initial Fee $ 100.00
Invoice Due Date 7/8/2022
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 6/9/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 637443704
Transaction Number*
NOI Tracking No. 93656
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2022-R-2577A Reidsville Road Improvements Part 1