NCC230321_NOI 126003 Payment Verification_20230203

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/2/2023 1:03:39 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/3/2023 6:48:20 AM (Review - NOI 126003 Safriet/Lindsey Lots)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/2/2023 1:04 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 7, 2023 5:00
PM 2/2/2023 1:04 PM
by Workflow 2/3/2023 6:48:28 AM (Workflow Start Event)
Submit by Holloman, Tevye L 2/3/2023 1:00:58 PM (Payment Verification for NCC230321)
F Tim Carr
Holloman, Tevye L assigned the task to Holloman, Tevye L 2/3/2023 1:00 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 17, 2023 5:00 PM
2/3/2023 6:48 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Safriet/Lindsey Lots
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2023-0321
Certificate of NCC230321
Coverage (COC) No.*
Invoice Date 2/3/2023
Initial Invoice No. NCC230321-2023
Initial Fee $ 100.00
Invoice Due Date 3/5/2023
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 2/3/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 674723169
Transaction Number*
NOI Tracking No. 126003
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID N CC -I RED E-2023-Safriet/Li ndsey Lots