NCC223258_NOI 105615 Payment Verification_20220916

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/15/2022 3:38:17 PM (NCG01 NOI Submission)
Approve by Clark, Paul B 9/15/2022 3:57:55 PM (Review - NOI 105615 Chapel Ridge)
• Clark, Paul B reassigned the task to Clark, Paul B 9/15/2022 3:42 PM
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/15/2022 3:40 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 20, 2022 5:00
PM 9/15/2022 3:40 PM
by Workflow 9/15/2022 3:58:04 PM (Workflow Start Event)
Submit by Holloman, Tevye L 9/16/2022 1:00:53 PM (Payment Verification for NCC223258)
F Laura Peters
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/16/2022 1:00 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 27, 2022 5:00 PM
9/15/2022 3:58 PM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Chapel Ridge
Lot Numbers (If listed on the eNOI)
512, 526, 615, 647, 186, 107,
NC Reference No.* NCG01-2022-3258
Certificate of NCC223258
Coverage (COC) No.*
Invoice Date 9/15/2022
Initial Invoice No. NCC223258-2022
Initial Fee $ 100.00
Invoice Due Date 10/15/2022
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 9/16/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* • electronic
check
Other
ePayment 653348280
Transaction Number*
NOI Tracking No. 105615
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-CHATH-2022-Chapel Ridge