NCC222923_NOI 101971 Payment Verification_20220816

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/12/2022 12:18:52 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/15/2022 6:58:05 AM (Review - NOI 101971 Antioch Farm Subdivision)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/12/2022 12:19 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 17, 2022 5:00
PM 8/12/2022 12:19 PM
by Workflow 8/15/2022 6:58:14 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/16/2022 7:57:46 AM (Payment Verification for NCC222923)
F Thriving LLC
• Tran, Kieu M assigned the task to Tran, Kieu M 8/16/2022 7:57 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 26, 2022 5:00
PM 8/15/2022 6:58 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Antioch Farm Subdivision
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2923
Certificate of NCC222923
Coverage (COC) No.*
Invoice Date 8/15/2022
Initial Invoice No. NCC222923-2022
Initial Fee $ 100.00
Invoice Due Date 9/14/2022
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 8/16/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 648450917
Transaction Number*
NOI Tracking No. 101971
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-COLUM-2022-Antioch Farm Subdivision