NCC221179_NOI 84597 Payment Verification_20220328

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/20/2022 9:17:53 AM (NCG01 NOI Submission)
Approve by Morman, Alaina 3/25/2022 12:41:16 PM (Review - NOI 84597 4050 Chapra Drive Samsara Estates)
• Clark, Paul B reassigned the task to Morman, Alaina 3/21/2022 5:39 PM
IN thx
• The task was assigned to Clark, Paul B by round robin distribution 3/20/2022 9:18 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 24, 2022 5:00 PM
3/20/2022 9:18 AM
by Workflow 3/25/2022 12:41:27 PM (Workflow Start Event)
Submit by EADS\aselkane 3/28/2022 9:43:06 AM (Payment Verification for NCC221179)
0 Richard Garrigan
• EADS\aselkane assigned the task to EADS\aselkane 3/28/2022 9:42 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 6, 2022 5:00 PM
3/25/2022 12:41 PM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
4050 Chapra Drive Samsara Estates
Lot Numbers
(If listed on the eNOI)
LOT 19 SAMSARA ESTATES
NC Reference No.*
NCG01-2022-1179
Certificate of
NCC221179
Coverage (COC) No.*
Invoice Date
3/25/2022
Initial Invoice No.
NCC221179-2022
Initial Fee
$ 100.00
Invoice Due Date
4/24/2022
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
3/28/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
625077453
Transaction Number*
NOI Tracking No.
84597
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-NEW H-2022-4050 Chapra Drive Samsara Estates