NCC223092_NOI 103495 Payment Verification_20220902

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/30/2022 10:32:43 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/30/2022 10:37:49 AM (Review - NOI 103495 Mallard Creek Towns)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/30/2022 10:33 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 2, 2022 5:00
PM 8/30/2022 10:33 AM
by Workflow 8/30/2022 4:52:28 PM (Workflow Start Event)
• The step was retried by Georgoulias, Bethany A 8/30/2022 4:52 PM
• The step was retried by Georgoulias, Bethany A 8/30/2022 10:55 AM
Submit by Holloman, Tevye L 9/2/2022 9:07:21 AM (Payment Verification for NCC223092)
F George Carroll
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/2/2022 9:06 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 11, 2022 5:00 PM
8/30/2022 4:52 PM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Mallard Creek Towns
Lot Numbers
(If listed on the eNOI)
All lots
NC Reference No.*
NCG01-2022-3092
Certificate of
NCC223092
Coverage (COC) No.*
Invoice Date
8/30/2022
Initial Invoice No.
NCC223092-2022
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
9/2/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
651025713
Transaction Number*
NOI Tracking No.
103495
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2022-Mallard Creek Towns