NCC230376_NOI 126679 Payment Verification_20230213

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/8/2023 11:34:49 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/9/2023 6:42:58 AM (Review - NOI 126679 Blue Sky Meadows (Phase 4 and 5))
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/8/2023 11:35 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 13, 2023 5:00
PM 2/8/2023 11:35 AM
by Workflow 2/9/2023 6:43:07 AM (Workflow Start Event)
Submit by Tev.Holloman 2/13/2023 8:22:32 AM (Payment Verification for NCC230376)
F Shelly Lloyd
• Tev.Holloman assigned the task to Tev.Holloman 2/13/2023 8:21 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 23, 2023 5:00 PM
2/9/2023 6:43 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Blue Sky Meadows (Phase 4 and 5)
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0376
Certificate of NCC230376
Coverage (COC) No.*
Invoice Date 2/9/2023
Initial Invoice No. NCC230376-2023
Initial Fee $ 100.00
Invoice Due Date 3/11/2023
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 2/13/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 675696675
Transaction Number*
NOI Tracking No. 126679
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-UNION-2023-Blue Sky Meadows (Phase 4 and 5)