NCC230102_NOI 122338 Payment Verification_20230118

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/11/2023 1:52:03 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/12/2023 6:28:29 AM (Review - NOI 122338 Hampton Inn Addition)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/11/2023 1:53 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 16, 2023 5:00
PM. The priority is: High 1/11/2023 1:53 PM
by Workflow 1/12/2023 6:28:37 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/18/2023 1:39:41 PM (Payment Verification for NCC230102)
F Trimurti of Spring Lake, LLC
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/18/2023 1:39 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 23, 2023 5:00 PM.
The priority is: High 1/12/2023 6:28 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Hampton Inn Addition
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2023-0102
Certificate of
NCC230102
Coverage (COC) No.*
Invoice Date
1/12/2023
Initial Invoice No.
NCC230102-2023
Initial Fee
$ 100.00
Invoice Due Date
2/11/2023
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
1/18/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
10456
NOI Tracking No.
122338
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-CUMBE-2022-Hampton Inn Addition