NCC224197_NOI 119878 Payment Verification_20230125

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/22/2022 9:55:16 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/22/2022 11:39:18 AM (Review - NOI 119878 Spring Forest Phase 3, 4, & 5)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/22/2022 9:55 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 27, 2022 5:00
PM 12/22/2022 9:55 AM
by Workflow 12/22/2022 11:39:24 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/25/2023 3:02:50 PM (Payment Verification for NCC224197)
F Adams Homes AEC. LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 1/25/2023 3:00 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 2, 2023 5:00 PM
12/22/2022 11:39 AM

Md
Payment
NORTH CAROLINA
Environmental Quaftfy
Project Name
Spring Forest Phase 3, 4, & 5
Lot Numbers
(If listed on the eNOI)
Phase 3 lots 70-99, Phase 4 lots 100-125, Phase 5 lots 126-151
NC Reference No.*
NCG01-2022-4197
Certificate of
NCC224197
Coverage (COC) No.*
Invoice Date
12/22/2022
Initial Invoice No.
NCC224197-2022
Initial Fee
$ 100.00
Invoice Due Date
1/21/2023
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
1/25/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
113838
NOI Tracking No.
119878
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-WAYNE-2022-Spring Forest Phase 3, 4, & 5