NCC223802_NOI 112367 Payment Verification_20221114

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/9/2022 3:26:49 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/10/2022 6:33:49 AM (Review - NOI 112367 Truman Company Minor
Subdivision - Lots 1-5)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/9/2022 3:28 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 14, 2022 5:00
PM 11/9/2022 3:28 PM
by Workflow 11/10/2022 6:34:01 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/14/2022 8:21:31 AM (Payment Verification for NCC223802)
* Benjamin Stout
• Holloman, Tevye L assigned the task to Holloman, Tevye L 11/14/2022 8:20 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 22, 2022 5:00
PM 11/10/2022 6:34 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Truman Company Minor Subdivision - Lots 1-5
Lot Numbers (If listed on the eNOI)
Lots 1-5
NC Reference No.* NCG01-2022-3802
Certificate of NCC223802
Coverage (COC) No.*
Invoice Date 11/10/2022
Initial Invoice No. NCC223802-2022
Initial Fee $ 100.00
Invoice Due Date 12/10/2022
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 11/14/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* • electronic
check
Other
ePayment 661895313
Transaction Number*
NOI Tracking No. 112367
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-SAMPS-2022-Truman Company Minor Subdivision - Lots 1-5