NCC230253_NOI 124311 Payment Verification_20230130

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/26/2023 12:49:25 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/27/2023 6:37:14 AM (Review - NOI 124311 Lakeshore at Windstone)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/26/2023 12:49 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 31, 2023 5:00
PM 1/26/2023 12:49 PM
by Workflow 1/27/2023 6:37:22 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/30/2023 8:11:56 AM (Payment Verification for NCC230253)
P GEORGE CARROLL
Holloman, Tevye L assigned the task to Holloman, Tevye L 1/30/2023 8:11 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 10, 2023 5:00 PM
1/27/2023 6:37 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Lakeshore at Windstone
Lot Numbers
(If listed on the eNOI)
All
NC Reference No.*
NCG01-2023-0253
Certificate of
NCC230253
Coverage (COC) No.*
Invoice Date
1/27/2023
Initial Invoice No.
NCC230253-2023
Initial Fee
$ 100.00
Invoice Due Date
2/26/2023
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
1/30/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
673702359
Transaction Number*
NOI Tracking No.
124311
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
N CC -I RED E-2023-Lakeshore at Windstone