NCC223849_NOI 112993 Payment Verification_20221118

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/15/2022 1:43:22 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/16/2022 7:16:55 AM (Review - NOI 112993 Jarvis Landing)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/15/2022 1:44 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 18, 2022 5:00
PM 11/15/2022 1:44 PM
by Workflow 11/16/2022 7:17:03 AM (Workflow Start Event)
Submit by Tran, Kieu M 11/18/2022 8:23:54 AM (Payment Verification for NCC223849)
F GOB LLC
• Tran, Kieu M assigned the task to Tran, Kieu M 11/18/2022 8:23 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 28, 2022 5:00
PM 11/16/2022 7:17 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Jarvis Landing
Lot Numbers (If listed on the eNOI)
1-39
NC Reference No.* NCG01-2022-3849
Certificate of NCC223849
Coverage (COC) No.*
Invoice Date 11/16/2022
Initial Invoice No. NCC223849-2022
Initial Fee $ 100.00
Invoice Due Date 12/16/2022
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 11/18/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* • electronic
check
Other
ePayment 663047941
Transaction Number*
NOI Tracking No. 112993
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-CURRI-2022-Jarvis Landing