NCC223812_NOI 112448 Payment Verification_20221115

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/10/2022 10:37:00 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/14/2022 6:36:44 AM (Review - NOI 112448 Brooke Valley - Lots 3, 4, 6, 10,14
& 18)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/10/2022 10:37 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 15, 2022 5:00
PM 11/10/2022 10:37 AM
by Workflow 11/14/2022 6:36:53 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/15/2022 8:30:29 AM (Payment Verification for NCC223812)
P Benjamin Stout
• Holloman, Tevye L assigned the task to Holloman, Tevye L 11/15/2022 8:29 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 26, 2022 5:00
PM 11/14/2022 6:37 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Brooke Valley - Lots 3, 4, 6, 10, 14 & 18
Lot Numbers
(If listed on the eNOI)
Lots 3, 4, 6, 10, 14 & 18
NC Reference No.*
NCG01-2022-3812
Certificate of
NCC223812
Coverage (COC) No.*
Invoice Date
11/14/2022
Initial Invoice No.
NCC223812-2022
Initial Fee
$ 100.00
Invoice Due Date
12/14/2022
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
11/15/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
662421347
Transaction Number*
NOI Tracking No.
112448
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-HOKE-2022-Brooke Valley - Lots 3, 4, 6, 10, 14 & 18