NCC223364_NOI 106427 Payment Verification_20220927

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/26/2022 9:46:52 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/26/2022 10:01:16 AM (Review - NOI 106427 OWL HOLLOW STORAGE)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/26/2022 9:47 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 29, 2022 5:00
PM 9/26/2022 9:47 AM
by Workflow 9/26/2022 10:01:31 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/27/2022 8:43:39 AM (Payment Verification for NCC223364)
F Condios LLCX
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/27/2022 8:42 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 7, 2022 5:00 PM
9/26/2022 10:01 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
OWL HOLLOW STORAGE
Lot Numbers
(If listed on the eNOI)
A
NC Reference No.*
NCG01-2022-3364
Certificate of
NCC223364
Coverage (COC) No.*
Invoice Date
9/26/2022
Initial Invoice No.
NCC223364-2022
Initial Fee
$ 100.00
Invoice Due Date
10/26/2022
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
9/27/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
654907867
Transaction Number*
NOI Tracking No.
106427
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-POLK-2022-OWL HOLLOW STORAGE