NCC223400_NOI 106780 Payment Verification_20221004

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/28/2022 11:07:45 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/29/2022 6:48:47 AM (Review - NOI 106780 The Village Shoppes at Sherrills
Ford Outparcel 3)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/28/2022 11:08 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 3, 2022 5:00 PM
9/28/2022 11:08 AM
by Workflow 9/29/2022 6:49:08 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/4/2022 7:52:47 AM (Payment Verification for NCC223400)
F Blake Jones
• Holloman, Tevye L assigned the task to Holloman, Tevye L 10/4/2022 7:52 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 10, 2022 5:00
PM 9/29/2022 6:49 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name The Village Shoppes at Sherrills Ford Outparcel 3
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3400
Certificate of NCC223400
Coverage (COC) No.*
Invoice Date 9/29/2022
Initial Invoice No. NCC223400-2022
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 10/4/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 655894983
Transaction Number*
NOI Tracking No. 106780
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CATAW-2022-The Village Shoppes at Sherrills Ford Outparcel 3