NCC223411_NOI 106964 Payment Verification_20220930

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/29/2022 8:34:39 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/29/2022 9:20:06 AM (Review - NOI 106964 Dollar Residence)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/29/2022 8:34 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 4, 2022 5:00 PM
9/29/2022 8:34 AM
by Workflow 9/29/2022 9:20:12 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/30/2022 8:27:02 AM (Payment Verification for NCC223411)
F John D Ledford
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/30/2022 8:26 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 10, 2022 5:00
PM 9/29/2022 9:20 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Dollar Residence
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3411
Certificate of NCC223411
Coverage (COC) No.*
Invoice Date 9/29/2022
Initial Invoice No. NCC223411-2022
Initial Fee $ 100.00
Invoice Due Date 10/29/2022
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 9/30/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 655292264
Transaction Number*
NOI Tracking No. 106964
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CALDW-2022-Dollar Residence