NCC223295_NOI 105850 Payment Verification_20220921

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/19/2022 1:03:22 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/20/2022 6:49:06 AM (Review - NOI 105850 Getaway Outpost - Henderson)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/19/2022 1:04 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 22, 2022 5:00
PM 9/19/2022 1:04 PM
by Workflow 9/20/2022 6:49:15 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/21/2022 8:51:01 AM (Payment Verification for NCC223295)
F Jacquelyn Baines
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/21/2022 8:49 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 1, 2022 5:00 PM
9/20/2022 6:49 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Getaway Outpost - Henderson
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2022-3295
Certificate of NCC223295
Coverage (COC) No.*
Invoice Date 9/20/2022
Initial Invoice No. NCC223295-2022
Initial Fee $ 100.00
Invoice Due Date 10/20/2022
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 9/21/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 654043983
Transaction Number*
NOI Tracking No. 105850
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-VANCE-2022-Getaway Outpost - Henderson