NCC223537_NOI 109137 Payment Verification_20221013

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/12/2022 8:17:19 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/12/2022 8:34:30 AM (Review - NOI 109137 Bradfield Farms - Silverton Water
Interconnect)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/12/2022 8:18 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 17, 2022 5:00
PM 10/12/2022 8:18 AM
by Workflow 10/12/2022 8:34:39 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/13/2022 8:43:59 AM (Payment Verification for NCC223537)
F Lynda Jensen
• Holloman, Tevye L assigned the task to Holloman, Tevye L 10/13/2022 8:43 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 23, 2022 5:00
PM 10/12/2022 8:34 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Bradfield Farms - Silverton Water Interconnect
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3537
Certificate of NCC223537
Coverage (COC) No.*
Invoice Date 10/12/2022
Initial Invoice No. NCC223537-2022
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 657441339
Transaction Number*
NOI Tracking No. 109137
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CABAR-2022-Bradfield Farms - Silverton Water Interconnect