NCC223398_NOI 106746 Payment Verification_20220929

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/28/2022 9:39:05 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/28/2022 9:42:02 AM (Review - NOI 106746 23 Khaki Place)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/28/2022 9:39 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 3, 2022 5:00 PM
9/28/2022 9:39 AM
by Workflow 9/28/2022 9:42:05 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/29/2022 7:57:42 AM (Payment Verification for NCC223398)
F Lee Bryant
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/29/2022 7:57 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 9, 2022 5:00 PM
9/28/2022 9:42 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
23 Khaki Place
Lot Numbers
(If listed on the eNOI)
2
NC Reference No.*
NCG01-2022-3398
Certificate of
NCC223398
Coverage (COC) No.*
Invoice Date
9/28/2022
Initial Invoice No.
NCC223398-2022
Initial Fee
$ 100.00
Invoice Due Date
10/28/2022
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
655181017
Transaction Number*
NOI Tracking No.
106746
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2022-23 Khaki Place