NCC230051_NOI 121700 Payment Verification_20230111

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/6/2023 9:07:16 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/6/2023 9:10:30 AM (Review - NOI 121700 Bethesda Forest)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/6/2023 9:07 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 11, 2023 5:00
PM 1/6/2023 9:07 AM
by Workflow 1/6/2023 9:10:41 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/11/2023 2:50:55 PM (Payment Verification for NCC230051)
F Montrose LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 1/11/2023 2:47 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 17, 2023 5:00 PM
1/6/2023 9:10 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Bethesda Forest
Lot Numbers
(If listed on the eNOI)
1-31
NC Reference No.*
NCG01-2023-0051
Certificate of
NCC230051
Coverage (COC) No.*
Invoice Date
1/6/2023
Initial Invoice No.
NCC230051-2023
Initial Fee
$ 100.00
Invoice Due Date
2/5/2023
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
1/11/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
272
NOI Tracking No.
121700
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-IREDE-2023-Bethesda Forest