NCC221576_NOI 88689 Payment Verification_20220425

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/20/2022 4:51:56 PM (NCG01 NOI Submission)
Approve by Clark, Paul B 4/21/2022 3:31:35 PM (Review - NOI 88689 Brevard Mixed Use)
• Broussard, Brooklyn C reassigned the task to Clark, Paul B 4/21/2022 5:08 AM
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/20/2022 4:52 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 25, 2022 5:00 PM
4/20/2022 4:52 PM
by Workflow 4/21/2022 3:31:43 PM (Workflow Start Event)
Submit by Selkane, Aziza 4/25/2022 10:11:38 AM (Payment Verification for NCC221576)
F Sara Whitten
• Selkane, Aziza assigned the task to Selkane, Aziza 4/25/2022 10:10 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 2, 2022 5:00 PM
4/21/2022 3:31 PM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Brevard Mixed Use
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1576
Certificate of NCC221576
Coverage (COC) No.*
Invoice Date 4/21/2022
Initial Invoice No. NCC221576-2022
Initial Fee $ 100.00
Invoice Due Date 5/21/2022
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 4/25/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 630114712
Transaction Number*
NOI Tracking No. 88689
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2022-Brevard Mixed Use