NCC223946_NOI 114315 Payment Verification_20221213

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/22/2022 5:48:58 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/23/2022 6:47:34 AM (Review - NOI 114315 Serenity Subdivision Phase 2A &
2B)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/22/2022 5:49 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 25, 2022 5:00
PM 11/22/2022 5:49 PM
by Workflow 11/23/2022 6:47:38 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/13/2022 10:18:43 AM (Payment Verification for NCC223946)
F Greenfield Serenity LLC
• Holloman, Tevye L assigned the task to Holloman, Tevye L 12/13/2022 10:18 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 4, 2023 5:00 PM
11/23/2022 6:47 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Serenity Subdivision Phase 2A & 2B
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3946
Certificate of NCC223946
Coverage (COC) No.*
Invoice Date 11/23/2022
Initial Invoice No. NCC223946-2022
Initial Fee $ 100.00
Invoice Due Date 12/23/2022
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 12/13/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 666744107
Transaction Number*
NOI Tracking No. 114315
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HARNE-2022-Serenity Subdivision Phase 2A & 2B