NCC230219_NOI 123857 Payment Verification_20230126

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/24/2023 10:53:55 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/24/2023 11:03:33 AM (Review - NOI 123857 Dollar General at 6138 Carolina
Beach Road)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/24/2023 10:54 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 27, 2023 5:00
PM 1/24/2023 10:54 AM
by Workflow 1/24/2023 11:03:42 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/26/2023 10:35:12 AM (Payment Verification for NCC230219)
* Matthew Williams
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/26/2023 10:25 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 7, 2023 5:00 PM
1/24/2023 11:03 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Dollar General at 6138 Carolina Beach Road
Lot Numbers (If listed on the eNOI)
Parcel 2
NC Reference No.* NCG01-2023-0219
Certificate of NCC230219
Coverage (COC) No.*
Invoice Date 1/24/2023
Initial Invoice No. NCC230219-2023
Initial Fee $ 100.00
Invoice Due Date 2/23/2023
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 1/26/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* • electronic
check
Other
ePayment 673379983
Transaction Number*
NOI Tracking No. 123857
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-NEW H-2023-Dollar General at 6138 Carolina Beach Road