NCC223891_NOI 113503 Payment Verification_20221121

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/17/2022 4:04:17 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/18/2022 7:31:52 AM (Review - NOI 113503 AXIAL BONDS FARM - TRACT 1)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/17/2022 4:05 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 22, 2022 5:00
PM 11/17/2022 4:05 PM
by Workflow 11/18/2022 7:32:01 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/21/2022 8:21:06 AM (Payment Verification for NCC223891)
F Justin Long
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/21/2022 8:19 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 30, 2022 5:00
PM 11/18/2022 7:32 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
AXIAL BONDS FARM - TRACT 1
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-3891
Certificate of
NCC223891
Coverage (COC) No.*
Invoice Date
11/18/2022
Initial Invoice No.
NCC223891-2022
Initial Fee
$ 100.00
Invoice Due Date
12/18/2022
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
11/21/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
663186183
Transaction Number*
NOI Tracking No.
113503
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CABAR-2022-AXIAL BONDS FARM - TRACT 1