NCC223436_NOI 108308 Payment Verification_20221103

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/3/2022 8:27:36 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/3/2022 8:42:24 AM (Review - NOI 108308 Beverly Place Subdivision Lots 127-
130 & 157-187)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/3/2022 8:28 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 6, 2022 5:00 PM
10/3/2022 8:28 AM
by Workflow 10/3/2022 8:42:31 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/3/2022 12:02:52 PM (Payment Verification for NCC223436)
F Agnieszka Nau
• Holloman, Tevye L assigned the task to Holloman, Tevye L 11/3/2022 12:02 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 14, 2022 5:00
PM 10/3/2022 8:42 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Beverly Place Subdivision Lots 127-130 & 157-187
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3436
Certificate of NCC223436
Coverage (COC) No.*
Invoice Date 10/3/2022
Initial Invoice No. NCC223436-2022
Initial Fee $ 100.00
Invoice Due Date 11/2/2022
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 11/3/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 660670488
Transaction Number*
NOI Tracking No. 108308
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JOHNS-2022-Beverly Place Subdivision Lots 127-130 & 157-187