NCC231127_NOI 136782 Payment Verification_20230420

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/18/2023 3:31:36 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/19/2023 8:55:13 AM (Review-NOI 136782 Cone Health H&V Ambulatory
Complex)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 21,2023 5:00 PM
4/18/2023 3:31:43 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/18/2023 3:31:43 PM
Submit by Tev.Holloman 4/20/2023 10:44:59 AM (Payment Verification for NCC231127)
0 Kelway Howard
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: May 31,2023 5:00 PM
4/19/2023 8:55:32 AM
• Tev.Holloman assigned the task to Tev.Holloman 4/20/2023 10:44:07 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Cone Health H&V Ambulatory Complex
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-1127
Certificate of NCC231127
Coverage(COC)No.*
Invoice Date 4/19/2023
Initial Invoice No. NCC231127-2023
Initial Fee $ 100.00
Invoice Due Date 5/19/2023
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 4/20/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 687116467
Transaction Number*
NOI Tracking No. 136782
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-GUILF-2023-Cone Health H&V Ambulatory Complex