NCC222959_NOI 102286 Payment Verification_20220818

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/17/2022 9:06:14 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/17/2022 9:23:14 AM (Review - NOI 102286 598 Brookberry)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/17/2022 9:06 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 22, 2022 5:00
PM 8/17/2022 9:06 AM
by Workflow 8/17/2022 9:23:25 AM (Workflow Start Event)
Submit by Holloman, Tevye L 8/18/2022 8:30:12 AM (Payment Verification for NCC222959)
F Leslie R Mitchell
Holloman, Tevye L assigned the task to Holloman, Tevye L 8/18/2022 8:29 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 28, 2022 5:00
PM 8/17/2022 9:23 AM

VerificationPayment
NORTH CAROLINA
Environmental Quallty
Project Name
598 Brookberry
Lot Numbers
(If listed on the eNOI)
598
NC Reference No.*
NCG01-2022-2959
Certificate of
NCC222959
Coverage (COC) No.*
Invoice Date
8/17/2022
Initial Invoice No.
NCC222959-2022
Initial Fee
$ 100.00
Invoice Due Date
9/16/2022
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
8/18/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
648828101
Transaction Number*
NOI Tracking No.
102286
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-FORSY-2022-598 Brookberry