NCC223782_NOI 112128 Payment Verification_20221109

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/7/2022 4:54:31 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/8/2022 6:32:24 AM (Review - NOI 112128 Montgomery County Retail
Development)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/7/2022 4:55 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 10, 2022 5:00
PM 11/7/2022 4:55 PM
by Workflow 11/8/2022 6:32:31 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/9/2022 12:08:05 PM (Payment Verification for NCC223782)
F ADC Engineering, Inc.
• Holloman, Tevye L assigned the task to Holloman, Tevye L 11/9/2022 12:07 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 20, 2022 5:00
PM 11/8/2022 6:32 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Montgomery County Retail Development
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-3782
Certificate of
NCC223782
Coverage (COC) No.*
Invoice Date
11/8/2022
Initial Invoice No.
NCC223782-2022
Initial Fee
$ 100.00
Invoice Due Date
12/8/2022
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
11/9/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
1057
NOI Tracking No.
112128
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MONTG-2022-Montgomery County Retail Development