NCC223817_NOI 112500 Payment Verification_20221116

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/10/2022 1:15:05 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/14/2022 7:40:36 AM (Review - NOI 112500 RiverLights AQ Phase 1 Rev 30)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/10/2022 1:15 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 15, 2022 5:00
PM 11/10/2022 1:15 PM
by Workflow 11/14/2022 7:40:48 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/16/2022 9:01:58 AM (Payment Verification for NCC223817)
F Jamison Fair
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/16/2022 9:01 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 26, 2022 5:00
PM 11/14/2022 7:40 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
RiverLights AQ Phase 1 Rev 30
Lot Numbers
(If listed on the eNOI)
1, 99, 136
NC Reference No.*
NCG01-2022-3817
Certificate of
NCC223817
Coverage (COC) No.*
Invoice Date
11/14/2022
Initial Invoice No.
NCC223817-2022
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
11/16/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
662658754
Transaction Number*
NOI Tracking No.
112500
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-NEW H-2022-RiverLights AQ Phase 1 Rev 30