NCC231260_NOI 139087 Payment Verification_20230428

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/27/2023 5:24:17 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/28/2023 7:39:32 AM (Review-NOI 139087 Black Mountain Home for Children-
Student Life Center)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 2,2023 5:00 PM
4/27/2023 5:24:28 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/27/2023 5:24:28 PM
Submit by Tev.Holloman 4/28/2023 10:02:52 AM (Payment Verification for NCC231260)
•Jimmy Harmon
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 9,2023 5:00 PM
4/28/2023 7:39:49 AM
• Tev.Holloman assigned the task to Tev.Holloman 4/28/2023 10:02:22 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Black Mountain Home for Children-Student Life Center
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-1260
Certificate of NCC231260
Coverage(COC)No.*
Invoice Date 4/28/2023
Initial Invoice No. NCC231260-2023
Initial Fee $ 100.00
Invoice Due Date 5/28/2023
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 4/28/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 688509801
Transaction Number*
NOI Tracking No. 139087
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BUNCO-2023-Black Mountain Home for Children-Student Life Center