NCC223090_NOI 103473 Payment Verification_20220831

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/30/2022 9:22:37 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/30/2022 9:32:52 AM (Review - NOI 103473 Twin Lakes)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/30/2022 9:22 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 2, 2022 5:00
PM 8/30/2022 9:22 AM
by Workflow 8/30/2022 9:33:01 AM (Workflow Start Event)
Submit by Holloman, Tevye L 8/31/2022 9:02:11 AM (Payment Verification for NCC223090)
F Leonard Green
Holloman, Tevye L assigned the task to Holloman, Tevye L 8/31/2022 9:01 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 11, 2022 5:00 PM
8/30/2022 9:33 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Twin Lakes
Lot Numbers
(If listed on the eNOI)
Lot 19
NC Reference No.*
NCG01-2022-3090
Certificate of
NCC223090
Coverage (COC) No.*
Invoice Date
8/30/2022
Initial Invoice No.
NCC223090-2022
Initial Fee
$ 100.00
Invoice Due Date
9/29/2022
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
8/31/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
650795273
Transaction Number*
NOI Tracking No.
103473
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-UNION-2022-Twin Lakes