NCC223365_NOI 106430 Payment Verification_20220927

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/26/2022 9:58:53 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/26/2022 10:05:27 AM (Review - NOI 106430 Schabert Crossing - Lots 1-15 &
28-31)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/26/2022 9:59 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 29, 2022 5:00
PM 9/26/2022 9:59 AM
by Workflow 9/26/2022 10:05:36 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/27/2022 9:07:08 AM (Payment Verification for NCC223365)
F Leslie Groves
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/27/2022 9:06 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 7, 2022 5:00 PM
9/26/2022 10:05 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Schabert Crossing - Lots 1-15 & 28-31
Lot Numbers (If listed on the eNOI)
Lots 1-15 & 28-31
NC Reference No.* NCG01-2022-3365
Certificate of NCC223365
Coverage (COC) No.*
Invoice Date 9/26/2022
Initial Invoice No. NCC223365-2022
Initial Fee $ 100.00
Invoice Due Date 10/26/2022
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 9/27/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* • electronic
check
Other
ePayment 655017126
Transaction Number*
NOI Tracking No. 106430
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-HARNE-2022-Schabert Crossing - Lots 1-15 & 28-31