NCC222608_NOI 97726 Payment Verification_20220725

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/19/2022 8:45:02 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/20/2022 7:15:37 AM (Review - NOI 97726 Brookberry Farm - Phase 10)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/19/2022 8:46 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 22, 2022 5:00 PM
7/19/2022 8:46 AM
by Workflow 7/20/2022 7:15:47 AM (Workflow Start Event)
Submit by Tran, Kieu M 7/25/2022 1:02:29 PM (Payment Verification for NCC222608)
F Quality Oil Company
• Tran, Kieu M assigned the task to Tran, Kieu M 7/25/2022 1:00 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 31, 2022 5:00 PM
7/20/2022 7:15 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Brookberry Farm - Phase 10
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2022-2608
Certificate of NCC222608
Coverage (COC) No.*
Invoice Date 7/20/2022
Initial Invoice No. NCC222608-2022
Initial Fee $ 100.00
Invoice Due Date 8/19/2022
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 7/25/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 644169046
Transaction Number*
NOI Tracking No. 97726
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2022-Brookberry Farm - Phase 10