NCC222120_NOI 93546 Payment Verification_20220608

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/6/2022 11:52:50 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/7/2022 6:55:44 AM (Review - NOI 93546 Brookings Fly Shop)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/6/2022 11:53 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 9, 2022 5:00 PM
6/6/2022 11:53 AM
by Workflow 6/7/2022 6:55:48 AM (Workflow Start Event)
Submit by Selkane, Aziza 6/8/2022 9:15:09 AM (Payment Verification for NCC222120)
F Phoebe A Harrell
• Selkane, Aziza assigned the task to Selkane, Aziza 6/8/2022 9:14 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 19, 2022 5:00 PM
6/7/2022 6:55 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Brookings Fly Shop
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2120
Certificate of NCC222120
Coverage (COC) No.*
Invoice Date 6/7/2022
Initial Invoice No. NCC222120-2022
Initial Fee $ 100.00
Invoice Due Date 7/7/2022
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 6/8/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 637284886
Transaction Number*
NOI Tracking No. 93546
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JACKS-2022-Brookings Fly Shop