NCC221286_NOI 85300 Payment Verification_20220405

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/29/2022 3:52:04 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/4/2022 7:11:01 AM (Review - NOI 85300 Royal Farms #467)
• Morman, Alaina reassigned the task to Broussard, Brooklyn C 4/1/2022 12:00 PM
• The task was assigned to Morman, Alaina by round robin distribution 3/29/2022 3:52 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 1, 2022 5:00 PM
3/29/2022 3:52 PM
by Workflow 4/4/2022 7:11:07 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/5/2022 11:39:13 AM (Payment Verification for NCC221286)
F Kelli Gill
• Selkane, Aziza assigned the task to Selkane, Aziza 4/5/2022 11:38 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 16, 2022 5:00 PM
4/4/2022 7:11 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Royal Farms #467
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1286
Certificate of NCC221286
Coverage (COC) No.*
Invoice Date 4/4/2022
Initial Invoice No. NCC221286-2022
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 4/5/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 626547555
Transaction Number*
NOI Tracking No. 85300
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CRAVE-2022-Royal Farms #467