NCC224021_NOI 116200 Payment Verification_20221205

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/2/2022 12:54:56 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/5/2022 7:05:22 AM (Review - NOI 116200 Race City Avenue)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/2/2022 12:55 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 7, 2022 5:00
PM 12/2/2022 12:55 PM
by Workflow 12/5/2022 7:05:30 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/5/2022 10:54:03 AM (Payment Verification for NCC224021)
* LTT Investments LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 12/5/2022 10:53 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 16, 2023 5:00 PM
12/5/2022 7:05 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Race City Avenue
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-4021
Certificate of NCC224021
Coverage (COC) No.*
Invoice Date 12/5/2022
Initial Invoice No. NCC224021-2022
Initial Fee $ 100.00
Invoice Due Date 1/4/2023
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 12/5/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 665525071
Transaction Number*
NOI Tracking No. 116200
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-LINCO-2022-Race City Avenue