NCC223820_NOI 112571 Payment Verification_20221205

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/10/2022 4:59:26 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/14/2022 8:25:28 AM (Review - NOI 112571 Owens Ridge Subdivision - Phase
1)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/10/2022 5:00 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 15, 2022 5:00
PM 11/10/2022 5:00 PM
by Workflow 11/14/2022 8:25:39 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/5/2022 1:08:37 PM (Payment Verification for NCC223820)
F Daniel Smith
• Holloman, Tevye L assigned the task to Holloman, Tevye L 12/5/2022 1:08 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 26, 2022 5:00
PM 11/14/2022 8:25 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Owens Ridge Subdivision - Phase 1
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3820
Certificate of NCC223820
Coverage (COC) No.*
Invoice Date 11/14/2022
Initial Invoice No. NCC223820-2022
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 12/5/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 665356955
Transaction Number*
NOI Tracking No. 112571
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-DAVID-2023-Owens Ridge Subdivision - Phase 1