NCC224045_NOI 117630 Payment Verification_20221209

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/6/2022 3:31:15 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/7/2022 6:54:48 AM (Review - NOI 117630 Adair Woods Single Family
Subdivision)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/6/2022 3:32 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 9, 2022 5:00
PM 12/6/2022 3:32 PM
by Workflow 12/7/2022 6:54:55 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/9/2022 9:52:21 AM (Payment Verification for NCC224045)
F George Carroll
• Holloman, Tevye L assigned the task to Holloman, Tevye L 12/9/2022 9:51 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 18, 2023 5:00 PM
12/7/2022 6:55 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Adair Woods Single Family Subdivision
Lot Numbers
(If listed on the eNOI)
All lots
NC Reference No.*
NCG01-2022-4045
Certificate of
NCC224045
Coverage (COC) No.*
Invoice Date
12/7/2022
Initial Invoice No.
NCC224045-2022
Initial Fee
$ 100.00
Invoice Due Date
1/6/2023
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
12/9/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
666046250
Transaction Number*
NOI Tracking No.
117630
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CABAR-2022-Adair Woods Single Family Subdivision