NCC222386_NOI 95328 Payment Verification_20220701

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/28/2022 12:55:55 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/29/2022 7:20:19 AM (Review - NOI 95328 KLM Property Investments)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/28/2022 12:56 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 1, 2022 5:00 PM
6/28/2022 12:56 PM
by Workflow 6/29/2022 7:20:27 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 7/1/2022 10:07:37 AM (Payment Verification for NCC222386)
F George Harris
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 7/1/2022 10:07 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 10, 2022 5:00 PM
6/29/2022 7:20 AM

VerificationPayment
NORTH CAROLINA
Environmental Quallty
Project Name
KLM Property Investments
Lot Numbers
(If listed on the eNOI)
Lot FE1
NC Reference No.*
NCG01-2022-2386
Certificate of
NCC222386
Coverage (COC) No.*
Invoice Date
6/29/2022
Initial Invoice No.
NCC222386-2022
Initial Fee
$ 100.00
Invoice Due Date
7/29/2022
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
7/1/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
640837091
Transaction Number*
NOI Tracking No.
95328
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-JACKS-2022-KLM Property Investments