NCC223797_NOI 112311 Payment Verification_20221115

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/9/2022 10:31:29 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/9/2022 10:52:03 AM (Review - NOI 112311 8199 MARY HALL ROAD)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/9/2022 10:32 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 14, 2022 5:00
PM 11/9/2022 10:32 AM
by Workflow 11/9/2022 10:52:29 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/15/2022 2:13:17 PM (Payment Verification for NCC223797)
P Larry R. Jacobs
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/15/2022 2:12 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 21, 2022 5:00
PM 11/9/2022 10:52 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
8199 MARY HALL ROAD
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2022-3797
Certificate of
NCC223797
Coverage (COC) No.*
Invoice Date
11/9/2022
Initial Invoice No.
NCC223797-2022
Initial Fee
$ 100.00
Invoice Due Date
12/9/2022
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
11/15/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
1491
NOI Tracking No.
112311
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-ORANG-2022-8199 MARY HALL ROAD