NCC224037_NOI 117492 Payment Verification_20221230

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/6/2022 8:54:37 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/6/2022 8:59:35 AM (Review - NOI 117492 Davidson Farms Subdivision - Lot
#4)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/6/2022 8:56 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 9, 2022 5:00
PM 12/6/2022 8:56 AM
by Workflow 12/6/2022 8:59:44 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/30/2022 8:12:39 AM (Payment Verification for NCC224037)
F Rick Constable
• Holloman, Tevye L assigned the task to Holloman, Tevye L 12/30/2022 8:11 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 17, 2023 5:00 PM
12/6/2022 8:59 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Davidson Farms Subdivision - Lot #4
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2022-4037
Certificate of NCC224037
Coverage (COC) No.*
Invoice Date 12/6/2022
Initial Invoice No. NCC224037-2022
Initial Fee $ 100.00
Invoice Due Date 1/5/2023
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 12/30/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 669004194
Transaction Number*
NOI Tracking No. 117492
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2022-Davidson Farms Subdivision - Lot #4