NCC223087_NOI 103448 Payment Verification_20220831

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/29/2022 5:56:13 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/30/2022 7:29:18 AM (Review - NOI 103448 Nathaniel Carr Senior Community)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/29/2022 5:56 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 1, 2022 5:00
PM 8/29/2022 5:56 PM
by Workflow 8/30/2022 7:29:22 AM (Workflow Start Event)
Submit by Holloman, Tevye L 8/31/2022 9:05:15 AM (Payment Verification for NCC223087)
F Renee Sandell
Holloman, Tevye L assigned the task to Holloman, Tevye L 8/31/2022 9:04 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 11, 2022 5:00 PM
8/30/2022 7:29 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Nathaniel Carr Senior Community
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3087
Certificate of NCC223087
Coverage (COC) No.*
Invoice Date 8/30/2022
Initial Invoice No. NCC223087-2022
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 650692070
Transaction Number*
NOI Tracking No. 103448
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2022-Nathaniel Carr Senior Community