NCC230019_NOI 121224 Payment Verification_20230104

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/3/2023 2:57:56 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/4/2023 6:37:06 AM (Review - NOI 121224 Town of Nags Head Public Works
Department)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/3/2023 2:58 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 6, 2023 5:00 PM
1/3/2023 2:58 PM
by Workflow 1/4/2023 6:37:15 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/4/2023 1:40:44 PM (Payment Verification for NCC230019)
F David M Ryan
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/4/2023 1:40 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 15, 2023 5:00 PM
1/4/2023 6:37 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Town of Nags Head Public Works Department
Lot Numbers (If listed on the eNOI)
Lot 1-6, K and adjoining land, Block 10 Fresh Pond Beaches Subdivision,
Lot A & B Lampe Business Park,
Lot C Fox Commercial Lots
NC Reference No.* NCG01-2023-0019
Certificate of NCC230019
Coverage (COC) No.*
Invoice Date 1/4/2023
Initial Invoice No. NCC230019-2023
Initial Fee $ 100.00
Invoice Due Date 2/3/2023
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 1/4/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 669911149
Transaction Number*
NOI Tracking No. 121224
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-DARE-2023-Town of Nags Head Public Works Department