NCC221345_NOI 86420 Payment Verification_20220406

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/5/2022 10:42:21 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/5/2022 11:13:57 AM (Review - NOI 86420 Hillsborough Family Fare)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/5/2022 10:43 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 8, 2022 5:00 PM
4/5/2022 10:43 AM
by Workflow 4/5/2022 11:14:06 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/6/2022 9:14:39 AM (Payment Verification for NCC221345)
F Robert Brantley
• Selkane, Aziza assigned the task to Selkane, Aziza 4/6/2022 9:09 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 17, 2022 5:00 PM
4/5/2022 11:14 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Hillsborough Family Fare
Lot Numbers
(If listed on the eNOI)
n/a
NC Reference No.*
NCG01-2022-1345
Certificate of
NCC221345
Coverage (COC) No.*
Invoice Date
4/5/2022
Initial Invoice No.
NCC221345-2022
Initial Fee
$ 100.00
Invoice Due Date
5/5/2022
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
4/6/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
626803668
Transaction Number*
NOI Tracking No.
86420
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ORANG-2022-Hillsborough Family Fare