NCC223163_NOI 104783 Payment Verification_20220909

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/6/2022 2:16:20 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/8/2022 8:29:03 AM (Review - NOI 104783 Hillside Ph II)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/6/2022 2:17 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 9, 2022 5:00
PM 9/6/2022 2:17 PM
by Workflow 9/8/2022 8:29:10 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/9/2022 8:14:44 AM (Payment Verification for NCC223163)
F Sloan Sweigart
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/9/2022 8:14 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 20, 2022 5:00 PM
9/8/2022 8:29 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Hillside Ph II
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2022-3163
Certificate of
NCC223163
Coverage (COC) No.*
Invoice Date
9/8/2022
Initial Invoice No.
NCC223163-2022
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
652189821
Transaction Number*
NOI Tracking No.
104783
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CABAR-2022-Hillside Ph 11