NCC223008_NOI 102692 Payment Verification_20220824

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/22/2022 3:42:57 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/23/2022 6:56:58 AM (Review - NOI 102692 Parkside Crossing Phase 1 Offsite
Road Improvements)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/22/2022 3:43 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 25, 2022 5:00
PM 8/22/2022 3:43 PM
by Workflow 8/23/2022 6:57:06 AM (Workflow Start Event)
Submit by Holloman, Tevye L 8/24/2022 8:54:21 AM (Payment Verification for NCC223008)
F Jeremy Huntsman
• Holloman, Tevye L assigned the task to Holloman, Tevye L 8/24/2022 8:51 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 4, 2022 5:00 PM
8/23/2022 6:57 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Parkside Crossing Phase 1 Offsite Road Improvements
Lot Numbers
(If listed on the eNOI)
N/A Public Road Improvements
NC Reference No.*
NCG01-2022-3008
Certificate of
NCC223008
Coverage (COC) No.*
Invoice Date
8/23/2022
Initial Invoice No.
NCC223008-2022
Initial Fee
$ 100.00
Invoice Due Date
9/22/2022
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
8/24/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
649769055
Transaction Number*
NOI Tracking No.
102692
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2022-Parkside Crossing Phase 1 Offsite Road Improvements