NCC230182_NOI 123360 Payment Verification_20230203

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/19/2023 3:21:49 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/20/2023 7:15:59 AM (Review - NOI 123360 Pine Tree Knolls Lots 22-26)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/19/2023 3:22 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 24, 2023 5:00
PM 1/19/2023 3:22 PM
by Workflow 1/20/2023 7:16:06 AM (Workflow Start Event)
Submit by Holloman, Tevye L 2/3/2023 1:43:27 PM (Payment Verification for NCC230182)
F Hilliard Engineering PLLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 2/3/2023 1:42 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 3, 2023 5:00 PM
1/20/2023 7:16 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Pine Tree Knolls Lots 22-26
Lot Numbers
(If listed on the eNOI)
22-26
NC Reference No.*
NCG01-2023-0182
Certificate of
NCC230182
Coverage (COC) No.*
Invoice Date
1/20/2023
Initial Invoice No.
NCC230182-2023
Initial Fee
$ 100.00
Invoice Due Date
2/19/2023
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
2/3/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
2830
NOI Tracking No.
123360
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-JOHNS-2023-Pine Tree Knolls Lots 22-26