NCC222874_NOI 101667 Payment Verification_20220811

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/9/2022 4:13:00 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/10/2022 9:11:31 AM (Review - NOI 101667 Carolina Riverside Blvd. & South
Fork Parkway)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/9/2022 4:13 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 12, 2022 5:00
PM 8/9/2022 4:13 PM
by Workflow 8/10/2022 9:11:39 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/11/2022 8:12:51 AM (Payment Verification for NCC222874)
F Jeremy Huntsman
• Tran, Kieu M assigned the task to Tran, Kieu M 8/11/2022 8:12 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 21, 2022 5:00
PM 8/10/2022 9:11 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Carolina Riverside Blvd. & South Fork Parkway
Lot Numbers (If listed on the eNOI)
N/A
NC Reference No.* NCG01-2022-2874
Certificate of NCC222874
Coverage (COC) No.*
Invoice Date 8/10/2022
Initial Invoice No. NCC222874-2022
Initial Fee $ 100.00
Invoice Due Date 9/9/2022
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 8/11/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* • electronic
check
Other
ePayment 647672867
Transaction Number*
NOI Tracking No. 101667
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-GASTO-2022-Carolina Riverside Blvd. & South Fork Parkway