NCC223208_NOI 105120 Payment Verification_20220913

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/9/2022 4:17:59 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/12/2022 7:29:37 AM (Review - NOI 105120 2161 Hawkins)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/9/2022 4:18 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 14, 2022 5:00
PM. The priority is: High 9/9/2022 4:18 PM
by Workflow 9/12/2022 7:29:43 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/13/2022 8:39:33 AM (Payment Verification for NCC223208)
F Jeffrey Kirk
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/13/2022 8:38 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 24, 2022 5:00 PM.
The priority is: High 9/12/2022 7:29 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
2161 Hawkins
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2022-3208
Certificate of
NCC223208
Coverage (COC) No.*
Invoice Date
9/12/2022
Initial Invoice No.
NCC223208-2022
Initial Fee
$ 100.00
Invoice Due Date
10/12/2022
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
9/13/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
ePayment
652724874
Transaction Number*
NOI Tracking No.
105120
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2022-2161 Hawkins