NCC223981_NOI 114921 Payment Verification_20221206

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/29/2022 10:30:10 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/29/2022 10:45:23 AM (Review - NOI 114921 Rogaski Residence EC Plan)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/29/2022 10:30 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 2, 2022 5:00
PM 11/29/2022 10:30 AM
by Workflow 11/29/2022 10:45:37 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/6/2022 12:05:35 PM (Payment Verification for NCC223981)
F Peter Michael & Patricia Diane Rogaski
Holloman, Tevye L assigned the task to Holloman, Tevye L 12/6/2022 12:03 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 10, 2023 5:00 PM
11/29/2022 10:45 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Rogaski Residence EC Plan
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2022-3981
Certificate of
NCC223981
Coverage (COC) No.*
Invoice Date
11/29/2022
Initial Invoice No.
NCC223981-2022
Initial Fee
$ 100.00
Invoice Due Date
12/29/2022
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
12/6/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
338
NOI Tracking No.
114921
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-CALDW-2022-Rogaski Residence EC Plan