NCC221292_NOI 86175 Payment Verification_20220404

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/1/2022 12:20:42 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/4/2022 8:01:33 AM (Review - NOI 86175 Henry Fork River Park Site 2)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/1/2022 12:21 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 6, 2022 5:00 PM
4/1/2022 12:21 PM
by Workflow 4/4/2022 8:01:40 AM (Workflow Start Event)
Submit by EADS\aselkane 4/4/2022 2:26:12 PM (Payment Verification for NCC221292)
* Jason White
• EADS\aselkane assigned the task to EADS\aselkane 4/4/2022 2:25 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 16, 2022 5:00 PM
4/4/2022 8:01 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Henry Fork River Park Site 2
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1292
Certificate of NCC221292
Coverage (COC) No.*
Invoice Date 4/4/2022
Initial Invoice No. NCC221292-2022
Initial Fee $ 100.00
Invoice Due Date 5/4/2022
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 4/4/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 626535485
Transaction Number*
NOI Tracking No. 86175
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CATAW-2022-Henry Fork River Park Site 2