NCC221391_NOI 86573 Payment Verification_20220413

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/6/2022 12:06:49 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/7/2022 8:17:20 AM (Review - NOI 86573 Hazel Weisner Property - Erosion
Control)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/6/2022 12:07 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 11, 2022 5:00 PM
4/6/2022 12:07 PM
by Workflow 4/7/2022 8:17:31 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/13/2022 10:17:57 AM (Payment Verification for NCC221391)
F Hazel G Weisner
• Selkane, Aziza assigned the task to Selkane, Aziza 4/13/2022 10:17 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 19, 2022 5:00 PM
4/7/2022 8:17 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Hazel Weisner Property - Erosion Control
Lot Numbers
(If listed on the eNOI)
Lot:127 & 12A
NC Reference No.*
NCG01-2022-1391
Certificate of
NCC221391
Coverage (COC) No.*
Invoice Date
4/7/2022
Initial Invoice No.
NCC221391-2022
Initial Fee
$ 100.00
Invoice Due Date
5/7/2022
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
4/13/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
5094
NOI Tracking No.
86573
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-FORSY-2022-Hazel Weisner Property - Erosion Control