NCC223670_NOI 110140 Payment Verification_20221116

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/25/2022 11:05:16 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/26/2022 6:52:54 AM (Review - NOI 110140 Osborne Road Subdivision)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/25/2022 11:06 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 28, 2022 5:00
PM. The priority is: High 10/25/2022 11:06 AM
by Workflow 10/26/2022 6:53:04 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/16/2022 8:46:38 AM (Payment Verification for NCC223670)
F Tore Borhaug
• Holloman, Tevye L assigned the task to Holloman, Tevye L 11/16/2022 8:45 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 7, 2022 5:00 PM.
The priority is: High 10/26/2022 6:53 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Osborne Road Subdivision
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3670
Certificate of NCC223670
Coverage (COC) No.*
Invoice Date 10/26/2022
Initial Invoice No. NCC223670-2022
Initial Fee $ 100.00
Invoice Due Date 11/25/2022
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 11/16/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 662620433
Transaction Number*
NOI Tracking No. 110140
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-TRANS-2022-Osborne Road Subdivision