NCC222879_NOI 101689 Payment Verification_20220818

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/10/2022 9:08:16 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/10/2022 9:56:11 AM (Review - NOI 101689 Willis Crossings)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/10/2022 9:08 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 15, 2022 5:00
PM 8/10/2022 9:08 AM
by Workflow 8/10/2022 9:56:21 AM (Workflow Start Event)
Submit by Holloman, Tevye L 8/18/2022 12:26:38 PM (Payment Verification for NCC222879)
P Kenneth R. Jones
Holloman, Tevye L assigned the task to Holloman, Tevye L 8/18/2022 12:23 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 21, 2022 5:00
PM 8/10/2022 9:56 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Willis Crossings
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-2879
Certificate of
NCC222879
Coverage (COC) No.*
Invoice Date
8/10/2022
Initial Invoice No.
NCC222879-2022
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
8/18/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
12128
NOI Tracking No.
101689
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-JOHNS-2022-Willis Crossings