NCC224221_NOI 120884 Payment Verification_20230103

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/29/2022 2:13:36 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/30/2022 5:48:19 AM (Review - NOI 120884 1220 Old Greensboro Road)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/29/2022 2:14 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 3, 2023 5:00 PM
12/29/2022 2:14 PM
by Workflow 12/30/2022 5:48:33 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/3/2023 8:20:00 AM (Payment Verification for NCC224221)
F Matthew Dunbar
Holloman, Tevye L assigned the task to Holloman, Tevye L 1/3/2023 8:17 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 10, 2023 5:00 PM
12/30/2022 5:48 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
1220 Old Greensboro Road
Lot Numbers
(If listed on the eNOI)
6895193847000,895195696000
NC Reference No.*
NCG01-2022-4221
Certificate of
NCC224221
Coverage (COC) No.*
Invoice Date
12/30/2022
Initial Invoice No.
NCC224221-2022
Initial Fee
$ 100.00
Invoice Due Date
1/29/2023
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
1/3/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
669183073
Transaction Number*
NOI Tracking No.
120884
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-FORSY-2023-1220 Old Greensboro Road