NCC223519_NOI 108983 Payment Verification_20221013

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/10/2022 4:09:12 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/11/2022 7:42:07 AM (Review - NOI 108983 Cedar Hill #2)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/10/2022 4:10 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 13, 2022 5:00
PM 10/10/2022 4:10 PM
by Workflow 10/11/2022 7:42:17 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/13/2022 7:49:12 AM (Payment Verification for NCC223519)
F Alan Webster
• Holloman, Tevye L assigned the task to Holloman, Tevye L 10/13/2022 7:48 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 22, 2022 5:00
PM 10/11/2022 7:42 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Cedar Hill #2
Lot Numbers
(If listed on the eNOI)
Lot #2
NC Reference No.*
NCG01-2022-3519
Certificate of
NCC223519
Coverage (COC) No.*
Invoice Date
10/11/2022
Initial Invoice No.
NCC223519-2022
Initial Fee
$ 100.00
Invoice Due Date
11/10/2022
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
10/13/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
657261116
Transaction Number*
NOI Tracking No.
108983
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-JACKS-2022-Cedar Hill #2