NCC222861_NOI 101560 Payment Verification_20220810

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/9/2022 7:20:42 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/9/2022 9:26:34 AM (Review - NOI 101560 Albemarle Kings Mountain (Express
Review))
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/9/2022 7:21 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 12, 2022 5:00 PM.
The priority is: High 8/9/2022 7:21 AM
by Workflow 8/9/2022 9:26:45 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/10/2022 8:45:03 AM (Payment Verification for NCC222861)
F Joshua Allen
• Tran, Kieu M assigned the task to Tran, Kieu M 8/10/2022 8:44 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 20, 2022 5:00
PM. The priority is: High 8/9/2022 9:26 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Albemarle Kings Mountain (Express Review)
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2861
Certificate of NCC222861
Coverage (COC) No.*
Invoice Date 8/9/2022
Initial Invoice No. NCC222861-2022
Initial Fee $ 100.00
Invoice Due Date 9/8/2022
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 8/10/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 647486808
Transaction Number*
NOI Tracking No. 101560
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CLEVE-2022-Albemarle Kings Mountain (Express Review)