NCC231036_NOI 136004 Payment Verification_20230417

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/14/2023 10:16:53 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/14/2023 10:34:31 AM (Review-NOI 136004 Bell West Phase 1 B SRF)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 19,2023 5:00 PM
4/14/2023 10:17:02 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/14/2023 10:17:02 AM
Submit by Tev.Holloman 4/17/2023 1:18:50 PM (Payment Verification for NCC231036)
•James W Derrickson
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: May 26,2023 5:00 PM
4/14/2023 10:34:47 AM
• Tev.Holloman assigned the task to Tev.Holloman 4/17/2023 1:14:05 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Bell West Phase 1 B SRF
Lot Numbers (If listed on the eNOl)
9-17,91-97
NC Reference No.* NCG01-2023-1036
Certificate of NCC231036
Coverage(COC)No.*
Invoice Date 4/14/2023
Initial Invoice No. NCC231036-2023
Initial Fee $ 100.00
Invoice Due Date 5/14/2023
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 4/17/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 686554035
Transaction Number*
NOI Tracking No. 136004
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2023-Bell West Phase 1 B SRF