NCC224217_NOI 120824 Payment Verification_20221230

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/29/2022 10:10:28 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/29/2022 10:14:10 AM (Review - NOI 120824 Lake Glenn Dr. Phase 2)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/29/2022 10:10 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 3, 2023 5:00 PM
12/29/2022 10:10 AM
by Workflow 12/29/2022 10:14:16 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/30/2022 9:11:01 AM (Payment Verification for NCC224217)
F Steve Helms
Holloman, Tevye L assigned the task to Holloman, Tevye L 12/30/2022 8:53 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 9, 2023 5:00 PM
12/29/2022 10:14 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Lake Glenn Dr. Phase 2
Lot Numbers
(If listed on the eNOI)
1-7
NC Reference No.*
NCG01-2022-4217
Certificate of
NCC224217
Coverage (COC) No.*
Invoice Date
12/29/2022
Initial Invoice No.
NCC224217-2022
Initial Fee
$ 100.00
Invoice Due Date
1/28/2023
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
12/30/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
669079378
Transaction Number*
NOI Tracking No.
120824
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-STANL-2023-Lake Glenn Dr. Phase 2