NCC230143_NOI 122887 Payment Verification_20230207

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/17/2023 9:27:12 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/17/2023 9:29:48 AM (Review - NOI 122887 Lots @ Fay Jones-Koli Properties)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/17/2023 9:27 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 20, 2023 5:00
PM 1/17/2023 9:27 AM
by Workflow 1/17/2023 9:29:54 AM (Workflow Start Event)
Submit by Holloman, Tevye L 2/7/2023 9:47:07 AM (Payment Verification for NCC230143)
F Caleb Hill
Holloman, Tevye L assigned the task to Holloman, Tevye L 2/7/2023 9:46 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 28, 2023 5:00 PM
1/17/2023 9:29 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Lots @ Fay Jones-Koli Properties
Lot Numbers
(If listed on the eNOI)
1, 1A, 1B, 2, 4, 5, 6
NC Reference No.*
NCG01-2023-0143
Certificate of
NCC230143
Coverage (COC) No.*
Invoice Date
1/17/2023
Initial Invoice No.
NCC230143-2023
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
2/7/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
675196769
Transaction Number*
NOI Tracking No.
122887
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-LINCO-2023-1-ots @ Fay Jones-Koli Properties