NCC223563_NOI 109259 Payment Verification_20221018

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/13/2022 1:38:00 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/14/2022 6:30:45 AM (Review - NOI 109259 213 JC Corner rd)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/13/2022 1:38 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 18, 2022 5:00
PM 10/13/2022 1:38 PM
by Workflow 10/14/2022 6:30:54 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/18/2022 2:26:39 PM (Payment Verification for NCC223563)
P Hector A Gonzalez & Martha J Gonzalez
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/18/2022 2:24 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 25, 2022 5:00
PM 10/14/2022 6:31 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
213 JC Corner rd
Lot Numbers
(If listed on the eNOI)
1
NC Reference No.*
NCG01-2022-3563
Certificate of
NCC223563
Coverage (COC) No.*
Invoice Date
10/14/2022
Initial Invoice No.
NCC223563-2022
Initial Fee
$ 100.00
Invoice Due Date
11/13/2022
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
10/18/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
108
NOI Tracking No.
109259
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2022-213 JC Corner rd