NCC223063_NOI 103196 Payment Verification_20220830

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/26/2022 11:46:27 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/29/2022 7:08:26 AM (Review - NOI 103196 HealthPark at Davis Drive)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/26/2022 11:46 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 31, 2022 5:00
PM 8/26/2022 11:46 AM
by Workflow 8/29/2022 7:08:33 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/30/2022 8:51:11 AM (Payment Verification for NCC223063)
F Brandon Moore
• Tran, Kieu M assigned the task to Tran, Kieu M 8/30/2022 8:50 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 10, 2022 5:00 PM
8/29/2022 7:08 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
HealthPark at Davis Drive
Lot Numbers
(If listed on the eNOI)
101 Holly Creek Road
NC Reference No.*
NCG01-2022-3063
Certificate of
NCC223063
Coverage (COC) No.*
Invoice Date
8/29/2022
Initial Invoice No.
NCC223063-2022
Initial Fee
$ 100.00
Invoice Due Date
9/28/2022
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
8/30/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
650631752
Transaction Number*
NOI Tracking No.
103196
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-WAKE-2022-HealthPark at Davis Drive