NCC230353_NOI 126466 Payment Verification_20230208

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/7/2023 8:48:55 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/7/2023 9:20:11 AM (Review - NOI 126466 Williams Grove- Phase 4)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/7/2023 8:49 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 10, 2023 5:00
PM 2/7/2023 8:49 AM
by Workflow 2/7/2023 9:20:21 AM (Workflow Start Event)
Submit by Holloman, Tevye L 2/8/2023 10:28:20 AM (Payment Verification for NCC230353)
F HELEN WILLIAMS
Holloman, Tevye L assigned the task to Holloman, Tevye L 2/8/2023 10:27 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 21, 2023 5:00 PM
2/7/2023 9:20 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Williams Grove- Phase 4
Lot Numbers (If listed on the eNOI)
58,57,56,55,54,53,52,51,50,49,48,47,46,45,43,42,41,40,39,38,37,36,95,94,93,96,97
,89,88,87,86,85,84,83,82,81,80,79,78,77,76,75.74,73,72,71,70,69
NC Reference No.* NCG01-2023-0353
Certificate of
NCC230353
Coverage (COC) No.*
Invoice Date
2/7/2023
Initial Invoice No.
NCC230353-2023
Initial Fee
$ 100.00
Invoice Due Date
3/9/2023
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 2/8/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 675453138
Transaction Number*
NOI Tracking No. 126466
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-NASH-2020-Williams Grove- Phase 4