NCC221488_NOI 88174 Payment Verification_20220418

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/13/2022 2:31:24 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/14/2022 8:13:28 AM (Review - NOI 88174 Union Hills, Phase 1-Lots 7-9, 13-15,
17, 18, 20 & 22-24)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/13/2022 2:32 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 18, 2022 5:00 PM
4/13/2022 2:32 PM
by Workflow 4/14/2022 8:13:36 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/18/2022 9:43:16 AM (Payment Verification for NCC221488)
* Brian Walker
• Selkane, Aziza assigned the task to Selkane, Aziza 4/18/2022 9:41 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 26, 2022 5:00 PM
4/14/2022 8:13 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Union Hills, Phase 1-Lots 7-9, 13-15, 17, 18, 20 & 22-24
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1488
Certificate of NCC221488
Coverage (COC) No.*
Invoice Date 4/14/2022
Initial Invoice No. NCC221488-2022
Initial Fee $ 100.00
Invoice Due Date 5/14/2022
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 4/18/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 628402855
Transaction Number*
NOI Tracking No. 88174
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MOORE-2022-Union Hills, Phase 1-Lots 7-9, 13-15, 17, 18, 20 & 22-24