NCC223172_NOI 104920 Payment Verification_20220913

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/7/2022 3:46:36 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/8/2022 10:33:05 AM (Review - NOI 104920 Hawthorne Headwaters Apartments
& Cottages)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/7/2022 3:47 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 12, 2022 5:00
PM 9/7/2022 3:47 PM
by Workflow 9/8/2022 10:33:16 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/13/2022 11:31:59 AM (Payment Verification for NCC223172)
F Evolve Construction, LLC
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/13/2022 11:30 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 20, 2022 5:00 PM
9/8/2022 10:33 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Hawthorne Headwaters Apartments & Cottages
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3172
Certificate of NCC223172
Coverage (COC) No.*
Invoice Date 9/8/2022
Initial Invoice No. NCC223172-2022
Initial Fee $ 100.00
Invoice Due Date 10/8/2022
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 9/13/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 14135
NOI Tracking No. 104920
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-PENDE-2022-Hawthorne Headwaters Apartments & Cottages