NCC223267_NOI 105624 Payment Verification_20220919

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/15/2022 4:29:44 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/16/2022 6:50:28 AM (Review - NOI 105624 LO 52 Perry Farms PH 3)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/15/2022 4:30 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 20, 2022 5:00
PM 9/15/2022 4:30 PM
by Workflow 9/16/2022 6:50:33 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/19/2022 9:39:07 AM (Payment Verification for NCC223267)
F Parker Stone
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/19/2022 9:38 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 28, 2022 5:00 PM
9/16/2022 6:50 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name LO 52 Perry Farms PH 3
Lot Numbers (If listed on the eNOI)
3
NC Reference No.* NCG01-2022-3267
Certificate of NCC223267
Coverage (COC) No.*
Invoice Date 9/16/2022
Initial Invoice No. NCC223267-2022
Initial Fee $ 100.00
Invoice Due Date 10/16/2022
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 9/19/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* • electronic
check
Other
ePayment 653512716
Transaction Number*
NOI Tracking No. 105624
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-WAKE-2022-LO 52 Perry Farms PH 3