NCC222813_NOI 101336 Payment Verification_20220805

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/4/2022 4:35:12 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/5/2022 7:41:57 AM (Review - NOI 101336 933 Old Folkstone, LLC)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/4/2022 4:35 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 9, 2022 5:00 PM
8/4/2022 4:35 PM
by Workflow 8/5/2022 7:42:03 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/5/2022 9:43:17 AM (Payment Verification for NCC222813)
F Nicolas G Alant
• Tran, Kieu M assigned the task to Tran, Kieu M 8/5/2022 9:42 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 16, 2022 5:00
PM 8/5/2022 7:42 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name 933 Old Folkstone, LLC
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2813
Certificate of NCC222813
Coverage (COC) No.*
Invoice Date 8/5/2022
Initial Invoice No. NCC222813-2022
Initial Fee $ 100.00
Invoice Due Date 9/4/2022
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 8/5/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 646889746
Transaction Number*
NOI Tracking No. 101336
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ONSLO-2022-933 Old Folkstone, LLC