NCC223119_NOI 104491 Payment Verification_20220909

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/1/2022 11:01:42 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/1/2022 11:35:57 AM (Review - NOI 104491 Edison Acres)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/1/2022 11:02 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 6, 2022 5:00
PM 9/1/2022 11:02 AM
by Workflow 9/1/2022 11:36:16 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/9/2022 8:02:39 AM (Payment Verification for NCC223119)
F Gardner Roofing
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/9/2022 8:02 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 13, 2022 5:00 PM
9/1/2022 11:36 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Edison Acres
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2022-3119
Certificate of
NCC223119
Coverage (COC) No.*
Invoice Date
9/1/2022
Initial Invoice No.
NCC223119-2022
Initial Fee
$ 100.00
Invoice Due Date
10/1/2022
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
9/9/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
ePayment
652166638
Transaction Number*
NOI Tracking No.
104491
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-HARNE-2022-Edison Acres