NCC223218_NOI 105246 Payment Verification_20220914

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/12/2022 2:46:46 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/13/2022 7:19:13 AM (Review - NOI 105246 Skyline Terrace Apartments Phase
-2)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/12/2022 2:48 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 15, 2022 5:00
PM. The priority is: High 9/12/2022 2:48 PM
by Workflow 9/13/2022 7:19:23 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/14/2022 8:20:14 AM (Payment Verification for NCC223218)
F Skyline Terrace Apartments II, LLC
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/14/2022 8:19 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 25, 2022 5:00 PM.
The priority is: High 9/13/2022 7:19 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Skyline Terrace Apartments Phase -2
Lot Numbers
(If listed on the eNOI)
none
NC Reference No.*
NCG01-2022-3218
Certificate of
NCC223218
Coverage (COC) No.*
Invoice Date
9/13/2022
Initial Invoice No.
NCC223218-2022
Initial Fee
$ 100.00
Invoice Due Date
10/13/2022
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
9/14/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
652899441
Transaction Number*
NOI Tracking No.
105246
Tracking ID referenced upon submittal
This is an Express
No
Review Project
• Yes
Project Tracking ID
NCC-WATAU-2022-Skyline Terrace Apartments Phase -2