NCC223607_NOI 109635 Payment Verification_20221020

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/19/2022 9:25:37 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/19/2022 9:28:33 AM (Review - NOI 109635 Countrywoods Ph 1 Grading)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/19/2022 9:26 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 24, 2022 5:00
PM 10/19/2022 9:26 AM
by Workflow 10/19/2022 9:28:41 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/20/2022 8:22:41 AM (Payment Verification for NCC223607)
P Bass Nixon and Kennedy
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/20/2022 8:22 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 30, 2022 5:00
PM 10/19/2022 9:28 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Countrywoods Ph 1 Grading
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3607
Certificate of NCC223607
Coverage (COC) No.*
Invoice Date 10/19/2022
Initial Invoice No. NCC223607-2022
Initial Fee $ 100.00
Invoice Due Date 11/18/2022
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 10/20/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 658627116
Transaction Number*
NOI Tracking No. 109635
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2022-Countrywoods Ph 1 Grading