NCC230662_NOI 131183 Payment Verification_20230321

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/7/2023 4:37:00 PM (NCG01 NOI Submission)
Approve by Nicole Chiles 3/10/2023 11:54:51 AM (Review - NOI 131183 Lake Lure Senior Living Facility)
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 10, 2023 5:00 PM
3/7/2023 4:37:11 PM
• The task was assigned to Nicole Chiles by round robin distribution 3/7/2023 4:37:11 PM
Submit by Tev.Holloman 3/21/2023 10:32:25 AM (Payment Verification for NCC230662)
• David Braun
The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 21, 2023 5:00 PM
3/10/2023 11:55:07 AM
• Tev.Holloman assigned the task to Tev.Holloman 3/21/2023 10:31:42 AM

STATE
NORTH CAROLINA
Environmental Quality
Project Name Lake Lure Senior Living Facility
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0662
Certificate of NCC230662
Coverage (COC) No.*
Invoice Date 3/10/2023
Initial Invoice No. NCC230662-2023
Initial Fee $ 100.00
Invoice Due Date 4/9/2023
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 3/21/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 682075550
Transaction Number*
NOI Tracking No. 131183
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-RUTHE-2022-Lake Lure Senior Living Facility