NCC223826_NOI 112676 Payment Verification_20221115

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/14/2022 9:07:48 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/14/2022 10:09:24 AM (Review - NOI 112676 4000 Airport Drive)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/14/2022 9:08 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 17, 2022 5:00
PM. The priority is: High 11/14/2022 9:08 AM
by Workflow 11/14/2022 10:09:33 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/15/2022 9:40:16 AM (Payment Verification for NCC223826)
F Robert S. Bartlett
• Holloman, Tevye L assigned the task to Holloman, Tevye L 11/15/2022 9:39 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 26, 2022 5:00 PM.
The priority is: High 11/14/2022 10:09 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
4000 Airport Drive
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-3826
Certificate of
NCC223826
Coverage (COC) No.*
Invoice Date
11/14/2022
Initial Invoice No.
NCC223826-2022
Initial Fee
$ 100.00
Invoice Due Date
12/14/2022
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
11/15/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
662461271
Transaction Number*
NOI Tracking No.
112676
Tracking ID referenced upon submittal
This is an Express
No
Review Project
• Yes
Project Tracking ID
NCC-WILSO-2022-4000 Airport Drive