NCC230360_NOI 126505 Payment Verification_20230215

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/7/2023 11:05:18 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/7/2023 4:04:17 PM (Review - NOI 126505 68 Granite Springs Road)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/7/2023 11:05 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 10, 2023 5:00
PM 2/7/2023 11:05 AM
by Workflow 2/7/2023 4:04:25 PM (Workflow Start Event)
Submit by Tev.Holloman 2/15/2023 11:03:21 AM (Payment Verification for NCC230360)
* Urban Building Solutions LLC
• Tev.Holloman assigned the task to Tev.Holloman 2/15/2023 11:02 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 21, 2023 5:00 PM
2/7/2023 4:04 PM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
68 Granite Springs Road
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2023-0360
Certificate of
NCC230360
Coverage (COC) No.*
Invoice Date
2/7/2023
Initial Invoice No.
NCC230360-2023
Initial Fee
$ 100.00
Invoice Due Date
3/9/2023
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
2/15/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
8854
NOI Tracking No.
126505
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2023-68 Granite Springs Road