NCC220732_NOI 81123 Payment Verification_20220211

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/10/2022 9:15:38 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/10/2022 9:33:23 AM (Review - NOI 81123 Antioch Church Road Subdivision)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/10/2022 9:16 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 14, 2022 5:00
PM 2/10/2022 9:16 AM
by Workflow 2/10/2022 9:33:32 AM (Workflow Start Event)
Submit by EADS\amorman1 2/11/2022 12:14:52 PM (Payment Verification for NCC220732)
F Cary R Chandler
• EADS\amorman1 assigned the task to EADS\amorman1 2/11/2022 12:14 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 24, 2022 5:00 PM
2/10/2022 9:33 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Antioch Church Road Subdivision
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-0732
Certificate of NCC220732
Coverage (COC) No.*
Invoice Date 2/10/2022
Initial Invoice No. NCC220732-2022
Initial Fee $ 100.00
Invoice Due Date 3/12/2022
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 2/11/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 617636123
Transaction Number*
NOI Tracking No. 81123
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JOHNS-2022-Antioch Church Road Subdivision