NCC222758_NOI 100849 Payment Verification_20220816

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/1/2022 9:41:41 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/1/2022 9:46:16 AM (Review - NOI 100849 Myrtle Manor)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/1/2022 9:42 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 4, 2022 5:00 PM
8/1/2022 9:42 AM
by Workflow 8/1/2022 9:46:24 AM (Workflow Start Event)
Submit by Holloman, Tevye L 8/16/2022 8:03:30 AM (Payment Verification for NCC222758)
F Gray Wolf Development, LLC
• Holloman, Tevye L assigned the task to Holloman, Tevye L 8/16/2022 8:02 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 12, 2022 5:00
PM 8/1/2022 9:46 AM

VerificationPayment
NORTH CAROLINA
Environmental Quallty
Project Name
Myrtle Manor
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-2758
Certificate of
NCC222758
Coverage (COC) No.*
Invoice Date
8/1/2022
Initial Invoice No.
NCC222758-2022
Initial Fee
$ 100.00
Invoice Due Date
8/31/2022
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
8/16/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
1217
NOI Tracking No.
100849
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-HARNE-2022-Myrtle Manor