NCC223121_NOI 104506 Payment Verification_20220906

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/1/2022 11:31:11 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/2/2022 6:57:28 AM (Review - NOI 104506 Fairground Farms Subdivision)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/1/2022 11:31 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 6, 2022 5:00
PM 9/1/2022 11:31 AM
by Workflow 9/2/2022 6:57:37 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/6/2022 10:19:59 AM (Payment Verification for NCC223121)
P C Scott Brown
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/6/2022 10:19 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 14, 2022 5:00 PM
9/2/2022 6:57 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Fairground Farms Subdivision
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3121
Certificate of NCC223121
Coverage (COC) No.*
Invoice Date 9/2/2022
Initial Invoice No. NCC223121-2022
Initial Fee $ 100.00
Invoice Due Date 10/2/2022
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 9/6/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 651266028
Transaction Number*
NOI Tracking No. 104506
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-HARNE-2022-Fairground Farms Subdivision