NCC223850_NOI 113030 Payment Verification_20221117

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/15/2022 2:53:42 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/16/2022 7:29:30 AM (Review - NOI 113030 North State Real Estate - Lowery
Street)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/15/2022 2:54 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 18, 2022 5:00
PM 11/15/2022 2:54 PM
by Workflow 11/16/2022 7:29:39 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/17/2022 9:42:29 AM (Payment Verification for NCC223850)
F Darrell Westmoreland
• Holloman, Tevye L assigned the task to Holloman, Tevye L 11/17/2022 9:41 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 28, 2022 5:00
PM 11/16/2022 7:29 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name North State Real Estate - Lowery Street
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3850
Certificate of NCC223850
Coverage (COC) No.*
Invoice Date 11/16/2022
Initial Invoice No. NCC223850-2022
Initial Fee $ 100.00
Invoice Due Date 12/16/2022
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 11/17/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 662782579
Transaction Number*
NOI Tracking No. 113030
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2022-North State Real Estate - Lowery Street