NCC230221_NOI 123883 Payment Verification_20230125

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/24/2023 12:06:08 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/25/2023 10:39:37 AM (Review - NOI 123883 Roberson House)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/24/2023 12:06 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 27, 2023 5:00
PM 1/24/2023 12:06 PM
by Workflow 1/25/2023 10:39:46 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/25/2023 2:59:54 PM (Payment Verification for NCC230221)
F James L and Lauren Roberson
Holloman, Tevye L assigned the task to Holloman, Tevye L 1/25/2023 2:52 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 8, 2023 5:00 PM
1/25/2023 10:39 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Roberson House
Lot Numbers
(If listed on the eNOI)
Lot 2
1441 Pearidge Road
Bostic, NC 28018
NC Reference No.*
NCG01-2023-0221
Certificate of
NCC230221
Coverage (COC) No.*
Invoice Date
1/25/2023
Initial Invoice No.
NCC230221-2023
Initial Fee
$ 100.00
Invoice Due Date
2/24/2023
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
1/25/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
5029
NOI Tracking No.
123883
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-RUTHE-2023-Roberson House