NCC223823_NOI 112633 Payment Verification_20221115

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/11/2022 3:35:22 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/14/2022 9:18:11 AM (Review - NOI 112633 Johnston Health Medical Office
Building - Early Grading)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/11/2022 3:36 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 16, 2022 5:00
PM 11/11/2022 3:36 PM
by Workflow 11/14/2022 9:18:23 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/15/2022 8:56:13 AM (Payment Verification for NCC223823)
F Bass Nixon and Kennedy
• Holloman, Tevye L assigned the task to Holloman, Tevye L 11/15/2022 8:55 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 26, 2022 5:00
PM 11/14/2022 9:18 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Johnston Health Medical Office Building - Early Grading
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2022-3823
Certificate of NCC223823
Coverage (COC) No.*
Invoice Date 11/14/2022
Initial Invoice No. NCC223823-2022
Initial Fee $ 100.00
Invoice Due Date 12/14/2022
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 11/15/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 662438170
Transaction Number*
NOI Tracking No. 112633
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-JOHNS-2022-Johnston Health Medical Office Building - Early Grading