NCC223532_NOI 109053 Payment Verification_20221013

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/11/2022 11:34:43 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/12/2022 5:45:40 AM (Review - NOI 109053 45 Indian Orchard Rd.)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/11/2022 11:35 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 14, 2022 5:00
PM 10/11/2022 11:35 AM
by Workflow 10/12/2022 5:45:48 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/13/2022 7:54:21 AM (Payment Verification for NCC223532)
P Kendall Craig Fox
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/13/2022 7:53 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 23, 2022 5:00
PM 10/12/2022 5:45 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
45 Indian Orchard Rd.
Lot Numbers
(If listed on the eNOI)
Lot 1 A
NC Reference No.*
NCG01-2022-3532
Certificate of
NCC223532
Coverage (COC) No.*
Invoice Date
10/12/2022
Initial Invoice No.
NCC223532-2022
Initial Fee
$ 100.00
Invoice Due Date
11/11/2022
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
10/13/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
657379540
Transaction Number*
NOI Tracking No.
109053
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2022-45 Indian Orchard Rd.