NCC230021_NOI 121253 Payment Verification_20230104

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/3/2023 6:16:33 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/4/2023 6:44:35 AM (Review - NOI 121253 HIBS)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/3/2023 6:17 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 6, 2023 5:00 PM
1/3/2023 6:17 PM
by Workflow 1/4/2023 6:44:44 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/4/2023 1:38:23 PM (Payment Verification for NCC230021)
F Wes Feinman
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/4/2023 1:37 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 15, 2023 5:00 PM
1/4/2023 6:44 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
HIBS
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2023-0021
Certificate of
NCC230021
Coverage (COC) No.*
Invoice Date
1/4/2023
Initial Invoice No.
NCC230021-2023
Initial Fee
$ 100.00
Invoice Due Date
2/3/2023
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
1/4/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
ePayment
669906996
Transaction Number*
NOI Tracking No.
121253
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2023-HIBS