NCC224145_NOI 119065 Payment Verification_20221219

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/16/2022 9:48:23 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/16/2022 12:10:03 PM (Review - NOI 119065 Onsrud Lot3&4)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/16/2022 9:48 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 21, 2022 5:00
PM 12/16/2022 9:48 AM
by Workflow 12/16/2022 12:10:13 PM (Workflow Start Event)
Submit by Holloman, Tevye L 12/19/2022 10:11:20 AM (Payment Verification for NCC224145)
F Thomas C Onsrud
Holloman, Tevye L assigned the task to Holloman, Tevye L 12/19/2022 10:01 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 27, 2023 5:00 PM
12/16/2022 12:10 PM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Onsrud Lot3&4
Lot Numbers
(If listed on the eNOI)
3/4
NC Reference No.*
NCG01-2022-4145
Certificate of
NCC224145
Coverage (COC) No.*
Invoice Date
12/16/2022
Initial Invoice No.
NCC224145-2022
Initial Fee
$ 100.00
Invoice Due Date
1/15/2023
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
12/19/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
667323506
Transaction Number*
NOI Tracking No.
119065
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-IRED E-2023-Onsrud Lot3&4