NCC221533_NOI 88464 Payment Verification_20220420

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/19/2022 9:06:32 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/19/2022 10:09:58 AM (Review - NOI 88464 Rufus Johnson Road Subdivision -
Lots 1 & 9-11)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/19/2022 9:07 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 22, 2022 5:00 PM
4/19/2022 9:07 AM
by Workflow 4/19/2022 10:10:06 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/20/2022 9:54:13 AM (Payment Verification for NCC221533)
F AG Residential
• Selkane, Aziza assigned the task to Selkane, Aziza 4/20/2022 9:53 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 31, 2022 5:00 PM
4/19/2022 10:10 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Rufus Johnson Road Subdivision -Lots 1 & 9-11
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1533
Certificate of NCC221533
Coverage (COC) No.*
Invoice Date 4/19/2022
Initial Invoice No. NCC221533-2022
Initial Fee $ 100.00
Invoice Due Date 5/19/2022
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 4/20/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 629445967
Transaction Number*
NOI Tracking No. 88464
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2022-Rufus Johnson Road Subdivision -Lots 1 & 9-11