NCC230315_NOI 125903 Payment Verification_20230203

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/2/2023 8:42:57 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/2/2023 8:51:26 AM (Review - NOI 125903 Habitat for Humanity - Addor Road)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/2/2023 8:43 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 7, 2023 5:00
PM 2/2/2023 8:43 AM
by Workflow 2/2/2023 8:51:35 AM (Workflow Start Event)
Submit by Holloman, Tevye L 2/3/2023 11:26:06 AM (Payment Verification for NCC230315)
* Joseph Brown
• Holloman, Tevye L assigned the task to Holloman, Tevye L 2/3/2023 11:25 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 16, 2023 5:00 PM
2/2/2023 8:51 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Habitat for Humanity - Addor Road
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2023-0315
Certificate of NCC230315
Coverage (COC) No.*
Invoice Date 2/2/2023
Initial Invoice No. NCC230315-2023
Initial Fee $ 100.00
Invoice Due Date 3/4/2023
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 2/3/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 674529602
Transaction Number*
NOI Tracking No. 125903
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MOORE-2023-Habitat for Humanity - Addor Road