NCC224085_NOI 118043 Payment Verification_20221212

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/9/2022 10:16:45 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/9/2022 10:21:34 AM (Review - NOI 118043 Tiffany Garden)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/9/2022 10:17 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 14, 2022 5:00
PM 12/9/2022 10:17 AM
by Workflow 12/9/2022 10:21:43 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/12/2022 9:11:31 AM (Payment Verification for NCC224085)
F Mathew Raab
Holloman, Tevye L assigned the task to Holloman, Tevye L 12/12/2022 9:10 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 20, 2023 5:00 PM
12/9/2022 10:21 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Tiffany Garden
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-4085
Certificate of
NCC224085
Coverage (COC) No.*
Invoice Date
12/9/2022
Initial Invoice No.
NCC224085-2022
Initial Fee
$ 100.00
Invoice Due Date
1/8/2023
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
12/12/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
666241266
Transaction Number*
NOI Tracking No.
118043
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-WAYNE-2022-Tiffany Garden