NCC222947_NOI 102165 Payment Verification_20220817

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/16/2022 8:49:30 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/16/2022 8:59:19 AM (Review - NOI 102165 Chipotle - Peters Creek Parkway)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/16/2022 8:49 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 19, 2022 5:00
PM 8/16/2022 8:49 AM
by Workflow 8/16/2022 8:59:26 AM (Workflow Start Event)
Submit by Holloman, Tevye L 8/17/2022 9:19:29 AM (Payment Verification for NCC222947)
F Michael LaRue
Holloman, Tevye L assigned the task to Holloman, Tevye L 8/17/2022 9:18 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 27, 2022 5:00
PM 8/16/2022 8:59 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Chipotle - Peters Creek Parkway
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2947
Certificate of NCC222947
Coverage (COC) No.*
Invoice Date 8/16/2022
Initial Invoice No. NCC222947-2022
Initial Fee $ 100.00
Invoice Due Date 9/15/2022
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 8/17/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 648623860
Transaction Number*
NOI Tracking No. 102165
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2022-Chipotle - Peters Creek Parkway