NCC223906_NOI 113688 Payment Verification_20221122

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/18/2022 1:07:28 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/21/2022 7:11:28 AM (Review - NOI 113688 Middleton Farms)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/18/2022 1:08 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 23, 2022 5:00
PM 11/18/2022 1:08 PM
by Workflow 11/21/2022 7:11:35 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/22/2022 8:56:50 AM (Payment Verification for NCC223906)
F Raymond G Rinker
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/22/2022 8:54 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 2, 2023 5:00 PM
11/21/2022 7:11 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Middleton Farms
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3906
Certificate of NCC223906
Coverage (COC) No.*
Invoice Date 11/21/2022
Initial Invoice No. NCC223906-2022
Initial Fee $ 100.00
Invoice Due Date 12/21/2022
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 11/22/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 663522143
Transaction Number*
NOI Tracking No. 113688
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-NASH-2022-Middleton Farms