NCC223433_NOI 108262 Payment Verification_20221004

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/30/2022 4:59:52 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/3/2022 7:34:33 AM (Review - NOI 108262 Halterman Residence)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/30/2022 5:00 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 5, 2022 5:00 PM
9/30/2022 5:00 PM
by Workflow 10/3/2022 7:34:39 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/4/2022 1:16:15 PM (Payment Verification for NCC223433)
P Keith and Debi Halterman
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/4/2022 1:15 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 14, 2022 5:00
PM 10/3/2022 7:34 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Halterman Residence
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2022-3433
Certificate of
NCC223433
Coverage (COC) No.*
Invoice Date
10/3/2022
Initial Invoice No.
NCC223433-2022
Initial Fee
$ 100.00
Invoice Due Date
11/2/2022
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
10/4/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
7910
NOI Tracking No.
108262
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-HENDE-2022-Halterman Residence