NCC223614_NOI 109684 Payment Verification_20221109

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/19/2022 12:51:38 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/20/2022 7:07:55 AM (Review - NOI 109684 Old Smith Dowes)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/19/2022 12:52 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 24, 2022 5:00
PM 10/19/2022 12:52 PM
by Workflow 10/20/2022 7:08:01 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/9/2022 7:32:50 AM (Payment Verification for NCC223614)
F Askeaton Realty LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/9/2022 7:31 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 1, 2022 5:00 PM
10/20/2022 7:08 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Old Smith Dowes
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2022-3614
Certificate of
NCC223614
Coverage (COC) No.*
Invoice Date
10/20/2022
Initial Invoice No.
NCC223614-2022
Initial Fee
$ 100.00
Invoice Due Date
11/19/2022
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
11/9/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
1179
NOI Tracking No.
109684
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-JOHNS-2022-Old Smith Dowes