NCC223371_NOI 106456 Payment Verification_20220929

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/26/2022 11:19:25 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/27/2022 7:23:06 AM (Review - NOI 106456 Jimmie Kerr Road C Store)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/26/2022 11:20 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 29, 2022 5:00
PM 9/26/2022 11:20 AM
by Workflow 9/27/2022 7:23:14 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/29/2022 3:07:04 PM (Payment Verification for NCC223371)
F Jimmiekerr LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/29/2022 3:06 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 8, 2022 5:00 PM
9/27/2022 7:23 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Jimmie Kerr Road C Store
Lot Numbers
(If listed on the eNOI)
n/a
NC Reference No.*
NCG01-2022-3371
Certificate of
NCC223371
Coverage (COC) No.*
Invoice Date
9/27/2022
Initial Invoice No.
NCC223371-2022
Initial Fee
$ 100.00
Invoice Due Date
10/27/2022
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*
1006
NOI Tracking No.
106456
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ALAMA-2022-Jimmie Kerr Road C Store