NCC230042_NOI 121525 Payment Verification_20230106

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/5/2023 10:33:04 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/5/2023 10:43:41 AM (Review - NOI 121525 Jones Residence)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/5/2023 10:33 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 10, 2023 5:00
PM 1/5/2023 10:33 AM
by Workflow 1/5/2023 10:43:50 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/6/2023 9:06:37 AM (Payment Verification for NCC230042)
F Blair E. Jones
Holloman, Tevye L assigned the task to Holloman, Tevye L 1/6/2023 9:05 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 16, 2023 5:00 PM
1/5/2023 10:44 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Jones Residence
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0042
Certificate of NCC230042
Coverage (COC) No.*
Invoice Date 1/5/2023
Initial Invoice No. NCC230042-2023
Initial Fee $ 100.00
Invoice Due Date 2/4/2023
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 1/6/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 670215711
Transaction Number*
NOI Tracking No. 121525
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BURKE-2022-Jones Residence