NCC223848_NOI 112914 Payment Verification_20221116

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/15/2022 10:35:05 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/15/2022 10:40:52 AM (Review - NOI 112914 Brookberry Farm - Phase 11)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/15/2022 10:35 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 18, 2022 5:00
PM 11/15/2022 10:35 AM
by Workflow 11/15/2022 10:41:04 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/16/2022 9:11:32 AM (Payment Verification for NCC223848)
F Quality Oil Company
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/16/2022 9:10 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 27, 2022 5:00
PM 11/15/2022 10:41 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Brookberry Farm - Phase 11
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3848
Certificate of NCC223848
Coverage (COC) No.*
Invoice Date 11/15/2022
Initial Invoice No. NCC223848-2022
Initial Fee $ 100.00
Invoice Due Date 12/15/2022
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 11/16/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 662697385
Transaction Number*
NOI Tracking No. 112914
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-FORSY-2022-Brookberry Farm - Phase 11