NCC223961_NOI 114688 Payment Verification_20221129

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/28/2022 9:43:59 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/28/2022 10:06:28 AM (Review - NOI 114688 Springfield Village Townhomes)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/28/2022 9:44 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 1, 2022 5:00
PM 11/28/2022 9:44 AM
by Workflow 11/28/2022 10:06:36 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/29/2022 9:08:05 AM (Payment Verification for NCC223961)
F Stuart Parks
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/29/2022 9:07 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 9, 2023 5:00 PM
11/28/2022 10:06 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Springfield Village Townhomes
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3961
Certificate of NCC223961
Coverage (COC) No.*
Invoice Date 11/28/2022
Initial Invoice No. NCC223961-2022
Initial Fee $ 100.00
Invoice Due Date 12/28/2022
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 11/29/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 664442644
Transaction Number*
NOI Tracking No. 114688
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2022-Springfield Village Townhomes