NCC224204_NOI 120016 Payment Verification_20230104

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/27/2022 8:47:04 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/28/2022 7:51:49 AM (Review - NOI 120016 Palatine Meadows, Lot 2A)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/27/2022 8:47 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 30, 2022 5:00
PM. The priority is: High 12/27/2022 8:47 AM
by Workflow 12/28/2022 7:51:55 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/4/2023 10:51:15 AM (Payment Verification for NCC224204)
F Alexander Keller
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/4/2023 10:50 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 8, 2023 5:00 PM.
The priority is: High 12/28/2022 7:52 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Palatine Meadows, Lot 2A
Lot Numbers
(If listed on the eNOI)
Lot 2A
NC Reference No.*
NCG01-2022-4204
Certificate of
NCC224204
Coverage (COC) No.*
Invoice Date
12/28/2022
Initial Invoice No.
NCC224204-2022
Initial Fee
$ 100.00
Invoice Due Date
1/27/2023
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
1/4/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
669734199
Transaction Number*
NOI Tracking No.
120016
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-CRAVE-2022-Palatine Meadows, Lot 2A