NCC223504_NOI 108816 Payment Verification_20221011

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/7/2022 2:03:50 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/10/2022 8:07:05 AM (Review - NOI 108816 Parcel 18200060 & Parcel
1820006006 Earthwork)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/7/2022 2:04 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 12, 2022 5:00
PM 10/7/2022 2:04 PM
by Workflow 10/10/2022 8:07:15 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/11/2022 7:46:13 AM (Payment Verification for NCC223504)
F Kimberly Holmes
• Holloman, Tevye L assigned the task to Holloman, Tevye L 10/11/2022 7:45 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 21, 2022 5:00
PM 10/10/2022 8:07 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Parcel 18200060 & Parcel 1820006006 Earthwork
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3504
Certificate of NCC223504
Coverage (COC) No.*
Invoice Date 10/10/2022
Initial Invoice No. NCC223504-2022
Initial Fee $ 100.00
Invoice Due Date 11/9/2022
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 10/11/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 657042032
Transaction Number*
NOI Tracking No. 108816
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BRUNS-2022-Parcel 18200060 & Parcel 1820006006 Earthwork