NCC223315_NOI 105994 Payment Verification_20220929

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/20/2022 2:20:02 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/21/2022 6:26:28 AM (Review - NOI 105994 U-5528FA Rosehill Road Sidewalk)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/20/2022 2:20 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 23, 2022 5:00
PM 9/20/2022 2:20 PM
by Workflow 9/21/2022 6:26:35 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/29/2022 8:00:07 AM (Payment Verification for NCC223315)
F Dana L Bain
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/29/2022 7:59 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 2, 2022 5:00 PM
9/21/2022 6:26 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name U-5528FA Rosehill Road Sidewalk
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3315
Certificate of NCC223315
Coverage (COC) No.*
Invoice Date 9/21/2022
Initial Invoice No. NCC223315-2022
Initial Fee $ 100.00
Invoice Due Date 10/21/2022
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 655204087
Transaction Number*
NOI Tracking No. 105994
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2022-U-5528FA Rosehill Road Sidewalk