NCC223661_NOI 110098 Payment Verification_20221026

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/25/2022 7:39:44 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/25/2022 8:07:59 AM (Review - NOI 110098 Fairfield Harbor - Single family
home construction)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/25/2022 7:40 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 28, 2022 5:00
PM 10/25/2022 7:40 AM
by Workflow 10/25/2022 8:08:07 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/26/2022 8:47:37 AM (Payment Verification for NCC223661)
F Tracey Davis
• Holloman, Tevye L assigned the task to Holloman, Tevye L 10/26/2022 8:47 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 6, 2022 5:00 PM
10/25/2022 8:08 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Fairfield Harbor - Single family home construction
Lot Numbers (If listed on the eNOI)
6, 9, 14, 22, 23, 30, 35, 44, 49, 65, 71, 74, 82, 149, 247, 301, 308, 314, 319, 407,
410, 443, 455 & 487
NC Reference No.* NCG01-2022-3661
Certificate of
NCC223661
Coverage (COC) No.*
Invoice Date
10/25/2022
Initial Invoice No.
NCC223661-2022
Initial Fee
$ 100.00
Invoice Due Date
11/24/2022
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 10/26/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 659485787
Transaction Number*
NOI Tracking No. 110098
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-CRAVE-2022-Fairfield Harbor - Single family home construction