NCC230280_NOI 124669 Payment Verification_20230131

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/30/2023 8:30:10 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/30/2023 8:44:15 AM (Review - NOI 124669 3109 Slater Rd)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/30/2023 8:30 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 2, 2023 5:00
PM 1/30/2023 8:30 AM
by Workflow 1/30/2023 8:44:22 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/31/2023 11:06:04 AM (Payment Verification for NCC230280)
F SAMM Properties
Holloman, Tevye L assigned the task to Holloman, Tevye L 1/31/2023 11:03 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 13, 2023 5:00 PM
1/30/2023 8:44 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
3109 Slater Rd
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2023-0280
Certificate of
NCC230280
Coverage (COC) No.*
Invoice Date
1/30/2023
Initial Invoice No.
NCC230280-2023
Initial Fee
$ 100.00
Invoice Due Date
3/1/2023
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
1/31/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
ePayment
673966899
Transaction Number*
NOI Tracking No.
124669
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-WAKE-2023-3109 Slater Rd