NCC223298_NOI 105880 Payment Verification_20220921

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/19/2022 2:50:44 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/20/2022 7:05:41 AM (Review - NOI 105880 Highway 64 Boat and RV Storage -
Phase 5)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/19/2022 2:51 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 22, 2022 5:00
PM 9/19/2022 2:51 PM
by Workflow 9/20/2022 7:05:49 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/21/2022 8:11:04 AM (Payment Verification for NCC223298)
F Warren D Mitchell
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/21/2022 8:10 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 1, 2022 5:00 PM
9/20/2022 7:05 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Highway 64 Boat and RV Storage - Phase 5
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2022-3298
Certificate of NCC223298
Coverage (COC) No.*
Invoice Date 9/20/2022
Initial Invoice No. NCC223298-2022
Initial Fee $ 100.00
Invoice Due Date 10/20/2022
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 9/21/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 654032440
Transaction Number*
NOI Tracking No. 105880
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2022-Highway 64 Boat and RV Storage - Phase 5