NCC230131_NOI 122697 Payment Verification_20230118

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/13/2023 1:38:54 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/17/2023 6:52:37 AM (Review - NOI 122697 Haven at Galleria)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/13/2023 1:39 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 18, 2023 5:00
PM 1/13/2023 1:39 PM
by Workflow 1/17/2023 6:52:46 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/18/2023 8:31:36 AM (Payment Verification for NCC230131)
* Jackson Liles
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/18/2023 8:26 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 28, 2023 5:00 PM
1/17/2023 6:52 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Haven at Galleria
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0131
Certificate of NCC230131
Coverage (COC) No.*
Invoice Date 1/17/2023
Initial Invoice No. NCC230131-2023
Initial Fee $ 100.00
Invoice Due Date 2/16/2023
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 1/18/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 672004422
Transaction Number*
NOI Tracking No. 122697
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-NEW H-2023-Haven at Galleria