NCC230529_NOI 128266 Payment Verification_20230227

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/24/2023 10:25:23 AM (NCG01 NOI Submission)
Approve by Brooklyn. Broussard 2/24/2023 10:35:41 AM (Review - NOI 128266 Jasmine)
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 1, 2023 5:00 PM
2/24/2023 10:25:31 AM
• The task was assigned to Brooklyn. Broussard by round robin distribution 2/24/2023 10:25:31 AM
Submit by Tev.Holloman 2/27/2023 8:41:49 AM (Payment Verification for NCC230529)
• Workforce Homestead Inc
The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 7, 2023 5:00 PM
2/24/2023 10:35:57 AM
• Tev.Holloman assigned the task to Tev.Holloman 2/27/2023 8:41:17 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Jasmine
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2023-0529
Certificate of NCC230529
Coverage (COC) No.*
Invoice Date 2/24/2023
Initial Invoice No. NCC230529-2023
Initial Fee $ 100.00
Invoice Due Date 3/26/2023
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 2/27/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 678192113
Transaction Number*
NOI Tracking No. 128266
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-POLK-2023-Jasmine