NCC230308_NOI 125813 Payment Verification_20230213

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/1/2023 1:24:18 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/2/2023 6:44:47 AM (Review - NOI 125813 La Grange Dollar general)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/1/2023 1:24 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 6, 2023 5:00
PM 2/1/2023 1:24 PM
by Workflow 2/2/2023 6:44:56 AM (Workflow Start Event)
Submit by Tev.Holloman 2/13/2023 8:58:25 AM (Payment Verification for NCC230308)
F Mark Zawadski
• Tev.Holloman assigned the task to Tev.Holloman 2/13/2023 8:57 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 16, 2023 5:00 PM
2/2/2023 6:45 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
La Grange Dollar general
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2023-0308
Certificate of
NCC230308
Coverage (COC) No.*
Invoice Date
2/2/2023
Initial Invoice No.
NCC230308-2023
Initial Fee
$ 100.00
Invoice Due Date
3/4/2023
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
2/13/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
675735474
Transaction Number*
NOI Tracking No.
125813
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-WAYNE-2023-La Grange Dollar general