NCC223343_NOI 106239 Payment Verification_20220929

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/22/2022 12:40:21 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/23/2022 6:06:57 AM (Review - NOI 106239 Copper Ridge)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/22/2022 12:40 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 27, 2022 5:00
PM 9/22/2022 12:40 PM
by Workflow 9/23/2022 6:07:04 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/29/2022 3:04:30 PM (Payment Verification for NCC223343)
F Burleson Development Group, LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/29/2022 3:03 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 4, 2022 5:00 PM
9/23/2022 6:07 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Copper Ridge
Lot Numbers
(If listed on the eNOI)
1-20
NC Reference No.*
NCG01-2022-3343
Certificate of
NCC223343
Coverage (COC) No.*
Invoice Date
9/23/2022
Initial Invoice No.
NCC223343-2022
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
Check Number*
1302
NOI Tracking No.
106239
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-STANL-2022-Copper Ridge