NCC223524_NOI 109013 Payment Verification_20221019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/11/2022 8:55:43 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/11/2022 9:09:39 AM (Review - NOI 109013 Blackwood Creek)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/11/2022 8:56 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 14, 2022 5:00
PM 10/11/2022 8:56 AM
by Workflow 10/11/2022 9:09:49 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/19/2022 1:03:51 PM (Payment Verification for NCC223524)
F Nest Communities LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/19/2022 1:03 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 22, 2022 5:00
PM 10/11/2022 9:10 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Blackwood Creek
Lot Numbers
(If listed on the eNOI)
1-103
NC Reference No.*
NCG01-2022-3524
Certificate of
NCC223524
Coverage (COC) No.*
Invoice Date
10/11/2022
Initial Invoice No.
NCC223524-2022
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
10/19/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
2179
NOI Tracking No.
109013
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-GASTO-2022-Blackwood Creek