NCC223086_NOI 103430 Payment Verification_20220831

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/29/2022 4:03:27 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/30/2022 6:52:02 AM (Review - NOI 103430 Cotswold)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/29/2022 4:04 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 1, 2022 5:00
PM 8/29/2022 4:04 PM
by Workflow 8/30/2022 6:52:07 AM (Workflow Start Event)
Submit by Holloman, Tevye L 8/31/2022 9:10:03 AM (Payment Verification for NCC223086)
P C Scott Brown
Holloman, Tevye L assigned the task to Holloman, Tevye L 8/31/2022 9:09 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 11, 2022 5:00 PM
8/30/2022 6:52 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Cotswold
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2022-3086
Certificate of
NCC223086
Coverage (COC) No.*
Invoice Date
8/30/2022
Initial Invoice No.
NCC223086-2022
Initial Fee
$ 100.00
Invoice Due Date
9/29/2022
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
8/31/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
ePayment
650694000
Transaction Number*
NOI Tracking No.
103430
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-HARNE-2021-Cotswold