NCC230275_NOI 124557 Payment Verification_20230206

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/27/2023 12:51:38 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/30/2023 7:49:42 AM (Review - NOI 124557 NC1-86 Leal)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/27/2023 12:52 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 1, 2023 5:00
PM 1/27/2023 12:52 PM
by Workflow 1/30/2023 7:49:49 AM (Workflow Start Event)
Submit by Holloman, Tevye L 2/6/2023 9:53:02 AM (Payment Verification for NCC230275)
F Sharon Alcock
Holloman, Tevye L assigned the task to Holloman, Tevye L 2/6/2023 9:52 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 13, 2023 5:00 PM
1/30/2023 7:49 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
NC1-86 Leal
Lot Numbers
(If listed on the eNOI)
2
NC Reference No.*
NCG01-2023-0275
Certificate of
NCC230275
Coverage (COC) No.*
Invoice Date
1/30/2023
Initial Invoice No.
NCC230275-2023
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
2/6/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
674817065
Transaction Number*
NOI Tracking No.
124557
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ORANG-2023-NC1-86 Leal