NCC223227_NOI 105333 Payment Verification_20220921

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/13/2022 10:26:17 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/13/2022 10:37:26 AM (Review - NOI 105333 Lot 123 Lissara - 9323 Lurgan
Way)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/13/2022 10:26 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 16, 2022 5:00
PM 9/13/2022 10:26 AM
by Workflow 9/13/2022 10:37:38 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/21/2022 10:52:02 AM (Payment Verification for NCC223227)
F Alan G Fletcher Construction Co Inc
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/21/2022 10:49 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 25, 2022 5:00 PM
9/13/2022 10:37 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Lot 123 Lissara - 9323 Lurgan Way
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3227
Certificate of NCC223227
Coverage (COC) No.*
Invoice Date 9/13/2022
Initial Invoice No. NCC223227-2022
Initial Fee $ 100.00
Invoice Due Date 10/13/2022
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
Check Number* 40386
NOI Tracking No. 105333
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2022-Lot 123 Lissara - 9323 Lurgan Way