NCC230030_NOI 121371 Payment Verification_20230110

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/4/2023 12:18:12 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/5/2023 6:39:59 AM (Review - NOI 121371 Harold J. Perkins and Adrienne R.
Perkins)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/4/2023 12:18 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 9, 2023 5:00 PM
1/4/2023 12:18 PM
by Workflow 1/5/2023 6:40:08 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/10/2023 11:05:26 AM (Payment Verification for NCC230030)
* Harold J. & Adrienne R. Perkins
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/10/2023 11:04 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 16, 2023 5:00 PM
1/5/2023 6:40 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Harold J. Perkins and Adrienne R. Perkins
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0030
Certificate of NCC230030
Coverage (COC) No.*
Invoice Date 1/5/2023
Initial Invoice No. NCC230030-2023
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 1/10/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 115
NOI Tracking No. 121371
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CALDW-2022-Harold J. Perkins and Adrienne R. Perkins