NCC223459_NOI 108509 Payment Verification_20221006

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/4/2022 3:35:42 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/5/2022 7:54:19 AM (Review - NOI 108509 The Forest @ Beth Haven)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/4/2022 3:36 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 7, 2022 5:00 PM
10/4/2022 3:36 PM
by Workflow 10/5/2022 7:54:28 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/6/2022 8:07:40 AM (Payment Verification for NCC223459)
F John D Ledford
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/6/2022 8:07 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 16, 2022 5:00
PM 10/5/2022 7:54 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name The Forest @ Beth Haven
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3459
Certificate of NCC223459
Coverage (COC) No.*
Invoice Date 10/5/2022
Initial Invoice No. NCC223459-2022
Initial Fee $ 100.00
Invoice Due Date 11/4/2022
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 10/6/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 656265701
Transaction Number*
NOI Tracking No. 108509
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-LINCO-2022-The Forest @ Beth Haven