NCC230289_NOI 125496 Payment Verification_20230201

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/31/2023 10:25:54 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/31/2023 10:28:05 AM (Review - NOI 125496 Southwind Farm - Lot 6)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/31/2023 10:26 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 3, 2023 5:00
PM 1/31/2023 10:26 AM
by Workflow 1/31/2023 10:28:18 AM (Workflow Start Event)
Submit by Holloman, Tevye L 2/1/2023 2:49:23 PM (Payment Verification for NCC230289)
F Nicholas P Kitrinos
Holloman, Tevye L assigned the task to Holloman, Tevye L 2/1/2023 2:46 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 14, 2023 5:00 PM
1/31/2023 10:28 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Southwind Farm - Lot 6
Lot Numbers
(If listed on the eNOI)
Lot 6
NC Reference No.*
NCG01-2023-0289
Certificate of
NCC230289
Coverage (COC) No.*
Invoice Date
1/31/2023
Initial Invoice No.
NCC230289-2023
Initial Fee
$ 100.00
Invoice Due Date
3/2/2023
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
2/1/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
674130312
Transaction Number*
NOI Tracking No.
125496
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2023-Southwind Farm - Lot 6