NCC222775_NOI 101037 Payment Verification_20220816

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/2/2022 10:43:28 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/3/2022 5:59:56 AM (Review - NOI 101037 Holly Grove Section 2 Subdivision
Lots # 16,17,&22)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/2/2022 10:46 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 5, 2022 5:00 PM
8/2/2022 10:46 AM
by Workflow 8/3/2022 6:00:04 AM (Workflow Start Event)
Submit by Holloman, Tevye L 8/16/2022 8:00:35 AM (Payment Verification for NCC222775)
* Caviness & Cates
• Holloman, Tevye L assigned the task to Holloman, Tevye L 8/16/2022 7:56 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 14, 2022 5:00
PM 8/3/2022 6:00 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Holly Grove Section 2 Subdivision Lots # 16,17,&22
Lot Numbers
(If listed on the eNOI)
16,17,22
NC Reference No.*
NCG01-2022-2775
Certificate of
NCC222775
Coverage (COC) No.*
Invoice Date
8/3/2022
Initial Invoice No.
NCC222775-2022
Initial Fee
$ 100.00
Invoice Due Date
9/2/2022
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
8/16/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
41907
NOI Tracking No.
101037
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-PITT-2022-Holly Grove Section 2 Subdivision Lots # 16,17,&22