NCC230005_NOI 121115 Payment Verification_20230104

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/3/2023 8:54:09 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/3/2023 8:57:01 AM (Review - NOI 121115 Sanitary Sewer Improvements to
Serve Town of Madison)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/3/2023 8:54 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 6, 2023 5:00 PM
1/3/2023 8:54 AM
by Workflow 1/3/2023 8:57:11 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/4/2023 10:50:02 AM (Payment Verification for NCC230005)
F Joseph Brown
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/4/2023 10:49 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 14, 2023 5:00 PM
1/3/2023 8:57 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Sanitary Sewer Improvements to Serve Town of Madison
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0005
Certificate of NCC230005
Coverage (COC) No.*
Invoice Date 1/3/2023
Initial Invoice No. NCC230005-2023
Initial Fee $ 100.00
Invoice Due Date 2/2/2023
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 1/4/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 669732139
Transaction Number*
NOI Tracking No. 121115
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ROCKI-2023-Sanitary Sewer Improvements to Serve Town of Madison