NCC223890_NOI 113484 Payment Verification_20221129

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/17/2022 3:13:37 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/18/2022 7:23:03 AM (Review - NOI 113484 Sandy Hollow)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/17/2022 3:14 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 22, 2022 5:00
PM 11/17/2022 3:14 PM
by Workflow 11/18/2022 7:23:10 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/29/2022 10:16:52 AM (Payment Verification for NCC223890)
F South State Development, LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/29/2022 10:15 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 30, 2022 5:00
PM 11/18/2022 7:23 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Sandy Hollow
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-3890
Certificate of
NCC223890
Coverage (COC) No.*
Invoice Date
11/18/2022
Initial Invoice No.
NCC223890-2022
Initial Fee
$ 100.00
Invoice Due Date
12/18/2022
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
11/29/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
002847
NOI Tracking No.
113484
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ONSLO-2022-Sandy Hollow