NCC230394_NOI 126849 Payment Verification_20230213

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/9/2023 12:25:55 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/10/2023 6:05:58 AM (Review - NOI 126849 TCAROL 12-22)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/9/2023 12:26 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 14, 2023 5:00
PM 2/9/2023 12:26 PM
by Workflow 2/10/2023 6:06:08 AM (Workflow Start Event)
Submit by Tev.Holloman 2/13/2023 9:57:07 AM (Payment Verification for NCC230394)
F Leslie Groves
• Tev.Holloman assigned the task to Tev.Holloman 2/13/2023 9:56 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 24, 2023 5:00 PM
2/10/2023 6:06 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
TCAROL 12-22
Lot Numbers
(If listed on the eNOI)
Lot 22
NC Reference No.*
NCG01-2023-0394
Certificate of
NCC230394
Coverage (COC) No.*
Invoice Date
2/10/2023
Initial Invoice No.
NCC230394-2023
Initial Fee
$ 100.00
Invoice Due Date
3/12/2023
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
2/13/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
675924491
Transaction Number*
NOI Tracking No.
126849
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MOORE-2023-TCAROL 12-22