NCC223169_NOI 104881 Payment Verification_20220909

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/7/2022 12:07:48 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/8/2022 9:43:37 AM (Review - NOI 104881 glover carwash)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/7/2022 12:08 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 12, 2022 5:00
PM 9/7/2022 12:08 PM
by Workflow 9/8/2022 9:43:47 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/9/2022 7:45:28 AM (Payment Verification for NCC223169)
F BJB Holdinghs LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/9/2022 7:44 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 20, 2022 5:00 PM
9/8/2022 9:44 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
glover carwash
Lot Numbers
(If listed on the eNOI)
Lot 9 northwood landing
NC Reference No.*
NCG01-2022-3169
Certificate of
NCC223169
Coverage (COC) No.*
Invoice Date
9/8/2022
Initial Invoice No.
NCC223169-2022
Initial Fee
$ 100.00
Invoice Due Date
10/8/2022
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
9/9/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
652171902
Transaction Number*
NOI Tracking No.
104881
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2022-glover carwash