NCC223796_NOI 112310 Payment Verification_20221110

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/9/2022 10:19:23 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/9/2022 10:49:00 AM (Review - NOI 112310 Carolina Riverside Offsite Force
Main & Water Line Erosion Control Plans)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/9/2022 10:20 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 14, 2022 5:00
PM 11/9/2022 10:20 AM
by Workflow 11/9/2022 10:49:12 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/10/2022 8:05:39 AM (Payment Verification for NCC223796)
* Jeremy Huntsman
• Holloman, Tevye L assigned the task to Holloman, Tevye L 11/10/2022 8:05 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 21, 2022 5:00
PM 11/9/2022 10:49 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Carolina Riverside Offsite Force Main & Water Line Erosion Control Plans
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-3796
Certificate of
NCC223796
Coverage (COC) No.*
Invoice Date
11/9/2022
Initial Invoice No.
NCC223796-2022
Initial Fee
$ 100.00
Invoice Due Date
12/9/2022
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
11/10/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
661756744
Transaction Number*
NOI Tracking No.
112310
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-GASTO-2022-Carolina Riverside Offsite Force Main & Water Line Erosion
Control Plans