NCC223243_NOI 105445 Payment Verification_20220927

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/14/2022 9:07:41 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/14/2022 9:16:14 AM (Review - NOI 105445 Charlestowne Phase 3 Lots 1-46)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/14/2022 9:08 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 19, 2022 5:00
PM 9/14/2022 9:08 AM
by Workflow 9/14/2022 9:16:24 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/27/2022 2:24:04 PM (Payment Verification for NCC223243)
F Adams Homes AEC. LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/27/2022 2:23 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 26, 2022 5:00 PM
9/14/2022 9:16 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Charlestowne Phase 3 Lots 1-46
Lot Numbers
(If listed on the eNOI)
1-46
NC Reference No.*
NCG01-2022-3243
Certificate of
NCC223243
Coverage (COC) No.*
Invoice Date
9/14/2022
Initial Invoice No.
NCC223243-2022
Initial Fee
$ 100.00
Invoice Due Date
10/14/2022
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
9/27/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
108779
NOI Tracking No.
105445
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-JOHNS-2022-Charlestowne Phase 3 Lots 1-46