NCC230056_NOI 121811 Payment Verification_20230111

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/6/2023 4:58:24 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/9/2023 7:27:05 AM (Review - NOI 121811 Bethlehem Road Residence)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/6/2023 4:58 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 11, 2023 5:00
PM 1/6/2023 4:58 PM
by Workflow 1/9/2023 7:27:10 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/11/2023 9:11:57 AM (Payment Verification for NCC230056)
F Daniel Ivan Vargas
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/11/2023 9:11 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 20, 2023 5:00 PM
1/9/2023 7:27 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Bethlehem Road Residence
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0056
Certificate of NCC230056
Coverage (COC) No.*
Invoice Date 1/9/2023
Initial Invoice No. NCC230056-2023
Initial Fee $ 100.00
Invoice Due Date 2/8/2023
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 670919044
Transaction Number*
NOI Tracking No. 121811
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WAKE-2023-Bethlehem Road Residence