NCC223527_NOI 109025 Payment Verification_20221013

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/11/2022 9:53:57 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/11/2022 10:15:30 AM (Review - NOI 109025 Lots @ Petes Rd. - Carolina Elite)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/11/2022 9:54 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 14, 2022 5:00
PM 10/11/2022 9:54 AM
by Workflow 10/11/2022 10:15:39 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/13/2022 7:28:50 AM (Payment Verification for NCC223527)
F Carolina Elite Builders, LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/13/2022 7:27 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 22, 2022 5:00
PM 10/11/2022 10:15 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Lots @ Petes Rd. - Carolina Elite
Lot Numbers (If listed on the eNOI)
Lot #1 PI-100155, Lot #2 PI-105980, Lot #3 PI-105981, Lot # 4 PI-105982, Lot # 5
PI-105983, Lot # 6 PI-105984
NC Reference No.* NCG01-2022-3527
Certificate of
NCC223527
Coverage (COC) No.*
Invoice Date
10/11/2022
Initial Invoice No.
NCC223527-2022
Initial Fee
$ 100.00
Invoice Due Date
11/10/2022
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 10/13/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 657211357
Transaction Number*
NOI Tracking No. 109025
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-LINCO-2022-Lots @ Petes Rd. - Carolina Elite