NCC230282_NOI 124822 Payment Verification_20230208

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/30/2023 5:18:54 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/31/2023 6:40:30 AM (Review - NOI 124822 Eubanks Site)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/30/2023 5:19 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 2, 2023 5:00
PM 1/30/2023 5:19 PM
by Workflow 1/31/2023 6:40:35 AM (Workflow Start Event)
Submit by Holloman, Tevye L 2/8/2023 1:04:25 PM (Payment Verification for NCC230282)
F Raymond G & Emily J Eubanks
Holloman, Tevye L assigned the task to Holloman, Tevye L 2/8/2023 1:03 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 14, 2023 5:00 PM
1/31/2023 6:40 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Eubanks Site
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2023-0282
Certificate of
NCC230282
Coverage (COC) No.*
Invoice Date
1/31/2023
Initial Invoice No.
NCC230282-2023
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
2/8/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
1732
NOI Tracking No.
124822
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-POLK-2022-Eubanks Site