NCC223098_NOI 103637 Payment Verification_20220901

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/31/2022 10:34:03 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/31/2022 10:43:15 AM (Review - NOI 103637 Stack Forest Private Dr)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/31/2022 10:35 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 5, 2022 5:00
PM 8/31/2022 10:35 AM
by Workflow 8/31/2022 10:43:30 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/1/2022 12:21:52 PM (Payment Verification for NCC223098)
F E Shay Bryant
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/1/2022 12:21 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 12, 2022 5:00 PM
8/31/2022 10:43 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Stack Forest Private Dr
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3098
Certificate of NCC223098
Coverage (COC) No.*
Invoice Date 8/31/2022
Initial Invoice No. NCC223098-2022
Initial Fee $ 100.00
Invoice Due Date 9/30/2022
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 9/1/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 650840732
Transaction Number*
NOI Tracking No. 103637
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-DURHA-2022-Stack Forest Private Dr