NCC223740_NOI 111636 Payment Verification_20221107

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/2/2022 7:43:37 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/2/2022 8:17:11 AM (Review - NOI 111636 Connolly Job)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/2/2022 7:44 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 7, 2022 5:00
PM 11/2/2022 7:44 AM
by Workflow 11/2/2022 8:17:19 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/7/2022 8:22:38 AM (Payment Verification for NCC223740)
P Kenneth Howell
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/7/2022 8:22 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 14, 2022 5:00
PM 11/2/2022 8:17 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Connolly Job
Lot Numbers
(If listed on the eNOI)
100
NC Reference No.*
NCG01-2022-3740
Certificate of
NCC223740
Coverage (COC) No.*
Invoice Date
11/2/2022
Initial Invoice No.
NCC223740-2022
Initial Fee
$ 100.00
Invoice Due Date
12/2/2022
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
11/7/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
661043728
Transaction Number*
NOI Tracking No.
111636
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CALDW-2022-Connolly Job