NCC223511_NOI 108876 Payment Verification_20221011

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/10/2022 9:35:00 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/10/2022 9:38:51 AM (Review - NOI 108876 Walton Farms)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/10/2022 9:35 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 13, 2022 5:00
PM 10/10/2022 9:35 AM
by Workflow 10/10/2022 9:39:01 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/11 /2022 8:04:38 AM (Payment Verification for NCC223511)
F David DeYoung
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/11/2022 8:04 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 21, 2022 5:00
PM 10/10/2022 9:39 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Walton Farms
Lot Numbers
(If listed on the eNOI)
entire parcel
NC Reference No.*
NCG01-2022-3511
Certificate of
NCC223511
Coverage (COC) No.*
Invoice Date
10/10/2022
Initial Invoice No.
NCC223511-2022
Initial Fee
$ 100.00
Invoice Due Date
11/9/2022
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
10/11/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
657041055
Transaction Number*
NOI Tracking No.
108876
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-JOHNS-2022-Walton Farms