NCC222847_NOI 101503 Payment Verification_20220818

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/8/2022 1:30:17 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/9/2022 7:57:45 AM (Review - NOI 101503 Monticello United Church of Christ)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/8/2022 1:30 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 11, 2022 5:00
PM 8/8/2022 1:30 PM
by Workflow 8/9/2022 7:57:54 AM (Workflow Start Event)
Submit by Holloman, Tevye L 8/18/2022 11:56:08 AM (Payment Verification for NCC222847)
F David & Clyda Johnson
• Holloman, Tevye L assigned the task to Holloman, Tevye L 8/18/2022 11:55 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 20, 2022 5:00
PM 8/9/2022 7:58 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Monticello United Church of Christ
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2847
Certificate of NCC222847
Coverage (COC) No.*
Invoice Date 8/9/2022
Initial Invoice No. NCC222847-2022
Initial Fee $ 100.00
Invoice Due Date 9/8/2022
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 8/18/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 9379
NOI Tracking No. 101503
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-GUILF-2022-Monticello United Church of Christ