NCC223422_NOI 107809 Payment Verification_20221010

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/29/2022 4:05:36 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/30/2022 7:19:44 AM (Review - NOI 107809 Tabor City PK-8 School)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/29/2022 4:06 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 4, 2022 5:00 PM
9/29/2022 4:06 PM
by Workflow 9/30/2022 7:19:50 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/10/2022 1:50:23 PM (Payment Verification for NCC223422)
F CLH Design, PA
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/10/2022 1:49 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 11, 2022 5:00
PM 9/30/2022 7:19 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Tabor City PK-8 School
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2022-3422
Certificate of
NCC223422
Coverage (COC) No.*
Invoice Date
9/30/2022
Initial Invoice No.
NCC223422-2022
Initial Fee
$ 100.00
Invoice Due Date
10/30/2022
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
10/10/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
17718
NOI Tracking No.
107809
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-COLUM-2022-Tabor City PK-8 School