NCC221280_NOI 85903 Payment Verification_20220405

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/30/2022 10:24:53 AM (NCG01 NOI Submission)
Approve by Clark, Paul B 4/2/2022 6:54:41 PM (Review - NOI 85903 Carolina Pines Retirement Community)
• The task was assigned to Clark, Paul B by round robin distribution 3/30/2022 10:25 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 4, 2022 5:00 PM
3/30/2022 10:25 AM
by Workflow 4/2/2022 6:55:03 PM (Workflow Start Event)
Submit by Selkane, Aziza 4/5/2022 11:35:42 AM (Payment Verification for NCC221280)
F Clay Buell Cameron General
• Selkane, Aziza assigned the task to Selkane, Aziza 4/5/2022 11:35 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 16, 2022 5:00 PM
4/2/2022 6:55 PM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Carolina Pines Retirement Community
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1280
Certificate of NCC221280
Coverage (COC) No.*
Invoice Date 4/2/2022
Initial Invoice No. NCC221280-2022
Initial Fee $ 100.00
Invoice Due Date 5/2/2022
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 4/5/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 626546989
Transaction Number*
NOI Tracking No. 85903
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-GUILF-2022-Carolina Pines Retirement Community