NCC230198_NOI 123597 Payment Verification_20230124

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/23/2023 8:34:57 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/23/2023 8:38:13 AM (Review - NOI 123597 Saddlebrook lots)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/23/2023 8:35 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 26, 2023 5:00
PM 1/23/2023 8:35 AM
by Workflow 1/23/2023 8:38:20 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/24/2023 9:32:35 AM (Payment Verification for NCC230198)
F Tracey Davis
Holloman, Tevye L assigned the task to Holloman, Tevye L 1/24/2023 9:29 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 6, 2023 5:00 PM
1/23/2023 8:38 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Saddlebrook lots
Lot Numbers
(If listed on the eNOI)
1-47 and 131-148
NC Reference No.*
NCG01-2023-0198
Certificate of
NCC230198
Coverage (COC) No.*
Invoice Date
1/23/2023
Initial Invoice No.
NCC230198-2023
Initial Fee
$ 100.00
Invoice Due Date
2/22/2023
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
1/24/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
673023796
Transaction Number*
NOI Tracking No.
123597
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-NASH-2023-Saddlebrook lots