NCC222829_NOI 101423 Payment Verification_20220818

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/5/2022 6:25:35 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/8/2022 7:08:59 AM (Review - NOI 101423 Derby Park - Phase Seven)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/5/2022 6:26 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 10, 2022 5:00
PM 8/5/2022 6:26 PM
by Workflow 8/8/2022 7:09:06 AM (Workflow Start Event)
Submit by Holloman, Tevye L 8/18/2022 12:29:41 PM (Payment Verification for NCC222829)
F Thomas Engineering, PA
Holloman, Tevye L assigned the task to Holloman, Tevye L 8/18/2022 12:28 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 19, 2022 5:00
PM 8/8/2022 7:09 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Derby Park - Phase Seven
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2022-2829
Certificate of
NCC222829
Coverage (COC) No.*
Invoice Date
8/8/2022
Initial Invoice No.
NCC222829-2022
Initial Fee
$ 100.00
Invoice Due Date
9/7/2022
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
8/18/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
16371
NOI Tracking No.
101423
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-CRAVE-2022-Derby Park - Phase Seven