NCC223543_NOI 109155 Payment Verification_20221028

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/12/2022 10:23:10 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/13/2022 6:23:54 AM (Review - NOI 109155 Curtis and Danita High Residence)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/12/2022 10:23 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 17, 2022 5:00
PM 10/12/2022 10:23 AM
by Workflow 10/13/2022 6:24:01 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/28/2022 8:27:47 AM (Payment Verification for NCC223543)
F G.W.B. Construction LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/28/2022 8:26 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 24, 2022 5:00
PM 10/13/2022 6:24 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Curtis and Danita High Residence
Lot Numbers
(If listed on the eNOI)
905
NC Reference No.*
NCG01-2022-3543
Certificate of
NCC223543
Coverage (COC) No.*
Invoice Date
10/13/2022
Initial Invoice No.
NCC223543-2022
Initial Fee
$ 100.00
Invoice Due Date
11/12/2022
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
10/28/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
659869973
Transaction Number*
NOI Tracking No.
109155
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MOORE-2022-Curtis and Danita High Residence