NCC223245_NOI 105455 Payment Verification_20220916

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/14/2022 9:37:12 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/14/2022 10:01:45 AM (Review - NOI 105455 Grayson Park Phase 3B)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/14/2022 9:37 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 19, 2022 5:00
PM 9/14/2022 9:37 AM
by Workflow 9/14/2022 10:02:00 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/16/2022 12:06:37 PM (Payment Verification for NCC223245)
F GRAYSON PARK DEVELOPMENT LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/16/2022 12:06 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 26, 2022 5:00 PM
9/14/2022 10:02 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Grayson Park Phase 3B
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3245
Certificate of NCC223245
Coverage (COC) No.*
Invoice Date 9/14/2022
Initial Invoice No. NCC223245-2022
Initial Fee $ 100.00
Invoice Due Date 10/14/2022
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 9/16/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 653324582
Transaction Number*
NOI Tracking No. 105455
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BRUNS-2022-Grayson Park Phase 3B