NCC223349_NOI 106288 Payment Verification_20220929

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/22/2022 3:44:12 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/23/2022 6:51:53 AM (Review - NOI 106288 Brixmor Pond Modification)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/22/2022 3:44 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 27, 2022 5:00
PM 9/22/2022 3:44 PM
by Workflow 9/23/2022 6:51:59 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/29/2022 7:39:37 AM (Payment Verification for NCC223349)
F Azalea Apartment Owner LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/29/2022 7:38 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 4, 2022 5:00 PM
9/23/2022 6:52 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Brixmor Pond Modification
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2022-3349
Certificate of NCC223349
Coverage (COC) No.*
Invoice Date 9/23/2022
Initial Invoice No. NCC223349-2022
Initial Fee $ 100.00
Invoice Due Date 10/23/2022
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 9/29/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 655152542
Transaction Number*
NOI Tracking No. 106288
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-NEW H-2022-Brixmor Pond Modification