NCC221315_NOI 86279 Payment Verification_20220407

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/4/2022 9:34:51 AM (NCG01 NOI Submission)
Approve by EADS\bcbroussard 4/4/2022 10:06:16 AM (Review - NOI 86279 Hardee's at Cliffdale)
• The task was assigned to EADS\bcbroussard by round robin distribution 4/4/2022 9:35 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 7, 2022 5:00 PM
4/4/2022 9:35 AM
by Workflow 4/4/2022 10:06:23 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/7/2022 9:13:34 AM (Payment Verification for NCC221315)
F Restaurant Development
• Selkane, Aziza assigned the task to Selkane, Aziza 4/7/2022 9:12 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 16, 2022 5:00 PM
4/4/2022 10:06 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Hardee's at Cliffdale
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1315
Certificate of NCC221315
Coverage (COC) No.*
Invoice Date 4/4/2022
Initial Invoice No. NCC221315-2022
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 4/7/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 626971005
Transaction Number*
NOI Tracking No. 86279
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2022-Hardee's at Cliffdale