NCC223068_NOI 103205 Payment Verification_20220829

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/26/2022 12:23:59 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/29/2022 7:40:15 AM (Review - NOI 103205 Church Street Day Care Center)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/26/2022 12:24 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 31, 2022 5:00
PM 8/26/2022 12:24 PM
by Workflow 8/29/2022 7:40:21 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/29/2022 9:32:48 AM (Payment Verification for NCC223068)
F Masala Ventures
• Tran, Kieu M assigned the task to Tran, Kieu M 8/29/2022 9:32 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 10, 2022 5:00 PM
8/29/2022 7:40 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Church Street Day Care Center
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3068
Certificate of NCC223068
Coverage (COC) No.*
Invoice Date 8/29/2022
Initial Invoice No. NCC223068-2022
Initial Fee $ 100.00
Invoice Due Date 9/28/2022
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 8/29/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 650560346
Transaction Number*
NOI Tracking No. 103205
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WAKE-2022-Church Street Day Care Center