NCC224142_NOI 119010 Payment Verification_20221219

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/15/2022 4:32:16 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/16/2022 7:09:32 AM (Review - NOI 119010 pOpshelf)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/15/2022 4:33 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 20, 2022 5:00
PM 12/15/2022 4:33 PM
by Workflow 12/16/2022 7:09:40 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/19/2022 10:28:30 AM (Payment Verification for NCC224142)
F Chris Morgan
Holloman, Tevye L assigned the task to Holloman, Tevye L 12/19/2022 10:27 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 27, 2023 5:00 PM
12/16/2022 7:09 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
pOpshelf
Lot Numbers
(If listed on the eNOI)
073355
NC Reference No.*
NCG01-2022-4142
Certificate of
NCC224142
Coverage (COC) No.*
Invoice Date
12/16/2022
Initial Invoice No.
NCC224142-2022
Initial Fee
$ 100.00
Invoice Due Date
1/15/2023
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
12/19/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
667348032
Transaction Number*
NOI Tracking No.
119010
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ONSLO-2023-pOpshelf