NCC223973_NOI 114821 Payment Verification_20221130

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/28/2022 3:17:02 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/29/2022 7:14:28 AM (Review - NOI 114821 486 Poythress rd, Chapel Hill, NC
27516)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/28/2022 3:17 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 1, 2022 5:00
PM. The priority is: High 11/28/2022 3:17 PM
by Workflow 11/29/2022 7:14:36 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/30/2022 9:13:33 AM (Payment Verification for NCC223973)
F Matthieu Campbell
• Holloman, Tevye L assigned the task to Holloman, Tevye L 11/30/2022 9:13 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 10, 2023 5:00 PM.
The priority is: High 11/29/2022 7:14 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name 486 Poythress rd, Chapel Hill, NC 27516
Lot Numbers (If listed on the eNOI)
Lot 3A(home site) and 3B (access easement)
NC Reference No.* NCG01-2022-3973
Certificate of NCC223973
Coverage (COC) No.*
Invoice Date 11/29/2022
Initial Invoice No. NCC223973-2022
Initial Fee $ 100.00
Invoice Due Date 12/29/2022
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 11/30/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* • electronic
check
Other
ePayment 664582707
Transaction Number*
NOI Tracking No. 114821
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2022-486 Poythress rd, Chapel Hill, NC 27516