NCC230065_NOI 121987 Payment Verification_20230111

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/9/2023 3:06:57 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/10/2023 6:51:39 AM (Review - NOI 121987 Lacy Farms)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/9/2023 3:07 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 12, 2023 5:00
PM 1/9/2023 3:07 PM
by Workflow 1/10/2023 6:51:49 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/11/2023 9:07:41 AM (Payment Verification for NCC230065)
F Tracey Davis
Holloman, Tevye L assigned the task to Holloman, Tevye L 1/11/2023 9:07 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 21, 2023 5:00 PM
1/10/2023 6:51 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Lacy Farms
Lot Numbers
(If listed on the eNOI)
1-77
NC Reference No.*
NCG01-2023-0065
Certificate of
NCC230065
Coverage (COC) No.*
Invoice Date
1/10/2023
Initial Invoice No.
NCC230065-2023
Initial Fee
$ 100.00
Invoice Due Date
2/9/2023
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
1/11/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
670901228
Transaction Number*
NOI Tracking No.
121987
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-WAKE-2023-Lacy Farms