NCC223806_NOI 112386 Payment Verification_20221114

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/9/2022 5:25:57 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/10/2022 6:47:12 AM (Review - NOI 112386 Providence Place)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/9/2022 5:26 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 14, 2022 5:00
PM 11/9/2022 5:26 PM
by Workflow 11/10/2022 6:47:19 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/14/2022 8:16:50 AM (Payment Verification for NCC223806)
F Providence Properties of the Carolinas LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/14/2022 8:16 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 22, 2022 5:00
PM 11/10/2022 6:47 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Providence Place
Lot Numbers
(If listed on the eNOI)
11
NC Reference No.*
NCG01-2022-3806
Certificate of
NCC223806
Coverage (COC) No.*
Invoice Date
11/10/2022
Initial Invoice No.
NCC223806-2022
Initial Fee
$ 100.00
Invoice Due Date
12/10/2022
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
11/14/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
661954154
Transaction Number*
NOI Tracking No.
112386
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CABAR-2022-Providence Place