NCC221941_NOI 91709 Payment Verification_20220523

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/20/2022 10:03:50 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 5/20/2022 10:10:06 AM (Review - NOI 91709 Crumpler Retail Store)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 5/20/2022 10:04 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 25, 2022 5:00 PM
5/20/2022 10:04 AM
by Workflow 5/20/2022 10:10:16 AM (Workflow Start Event)
Submit by Selkane, Aziza 5/23/2022 8:48:13 AM (Payment Verification for NCC221941)
F Carson Styles
• Selkane, Aziza assigned the task to Selkane, Aziza 5/23/2022 8:47 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 1, 2022 5:00 PM
5/20/2022 10:10 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Crumpler Retail Store
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1941
Certificate of NCC221941
Coverage (COC) No.*
Invoice Date 5/20/2022
Initial Invoice No. NCC221941-2022
Initial Fee $ 100.00
Invoice Due Date 6/19/2022
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 5/23/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 634593501
Transaction Number*
NOI Tracking No. 91709
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ASHE-2022-Crumpler Retail Store