NCC222562_NOI 97322 Payment Verification_20220725

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/14/2022 10:20:50 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/15/2022 8:17:32 AM (Review - NOI 97322 Royal Farms - Store #486)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/14/2022 10:21 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 19, 2022 5:00 PM
7/14/2022 10:21 AM
by Workflow 7/15/2022 8:17:41 AM (Workflow Start Event)
Submit by Tran, Kieu M 7/25/2022 10:52:43 AM (Payment Verification for NCC222562)
F Dan Withers
• Tran, Kieu M assigned the task to Tran, Kieu M 7/25/2022 10:52 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 26, 2022 5:00 PM
7/15/2022 8:17 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Royal Farms - Store #486
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2022-2562
Certificate of NCC222562
Coverage (COC) No.*
Invoice Date 7/15/2022
Initial Invoice No. NCC222562-2022
Initial Fee $ 100.00
Invoice Due Date 8/14/2022
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 7/25/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 643379665
Transaction Number*
NOI Tracking No. 97322
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-PITT-2022-Royal Farms - Store #486