NCC222586_NOI 97498 Payment Verification_20220802

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/15/2022 2:26:50 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/19/2022 8:28:07 AM (Review - NOI 97498 Flora Farms)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/15/2022 2:27 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 20, 2022 5:00 PM
7/15/2022 2:27 PM
by Workflow 7/19/2022 8:28:14 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/2/2022 2:46:21 PM (Payment Verification for NCC222586)
F North South Development Group LLC
• Tran, Kieu M assigned the task to Tran, Kieu M 8/2/2022 2:42 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 30, 2022 5:00 PM
7/19/2022 8:28 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Flora Farms
Lot Numbers
(If listed on the eNOI)
1-73, 114-117, 134-186
NC Reference No.*
NCG01-2022-2586
Certificate of
NCC222586
Coverage (COC) No.*
Invoice Date
7/19/2022
Initial Invoice No.
NCC222586-2022
Initial Fee
$ 100.00
Invoice Due Date
8/18/2022
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
8/2/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
2527
NOI Tracking No.
97498
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CURRI-2022-Flora Farms