NCC223156_NOI 104725 Payment Verification_20220929

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/6/2022 8:36:39 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/8/2022 7:41:45 AM (Review - NOI 104725 Waynesville Inn & Golf - Farmer
Branch)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/6/2022 8:37 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 9, 2022 5:00
PM 9/6/2022 8:37 AM
by Workflow 9/8/2022 7:41:52 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/29/2022 7:58:54 AM (Payment Verification for NCC223156)
F Brandon R Graham
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/29/2022 7:58 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 20, 2022 5:00 PM
9/8/2022 7:41 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Waynesville Inn & Golf - Farmer Branch
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2022-3156
Certificate of NCC223156
Coverage (COC) No.*
Invoice Date 9/8/2022
Initial Invoice No. NCC223156-2022
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 9/29/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 655192456
Transaction Number*
NOI Tracking No. 104725
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-HAYWO-2022-WaynesviIle Inn & Golf - Farmer Branch