NCC223300_NOI 105895 Payment Verification_20220922

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/19/2022 3:55:13 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/20/2022 7:16:58 AM (Review - NOI 105895 NC Goldsboro Hwy 70)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/19/2022 3:55 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 22, 2022 5:00
PM 9/19/2022 3:55 PM
by Workflow 9/20/2022 7:17:05 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/22/2022 1:07:38 PM (Payment Verification for NCC223300)
F NC Goldsboro Hwy 70 LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/22/2022 1:05 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 1, 2022 5:00 PM
9/20/2022 7:17 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
NC Goldsboro Hwy 70
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2022-3300
Certificate of
NCC223300
Coverage (COC) No.*
Invoice Date
9/20/2022
Initial Invoice No.
NCC223300-2022
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
9/22/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
10003
NOI Tracking No.
105895
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-WAYNE-2022-NC Goldsboro Hwy 70