NCC223209_NOI 105134 Payment Verification_20220912

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/12/2022 8:20:02 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/12/2022 8:36:02 AM (Review - NOI 105134 Beverly Subdivision Ph 1A Lots 89-
91 & 108-118)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/12/2022 8:20 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 15, 2022 5:00
PM 9/12/2022 8:20 AM
by Workflow 9/12/2022 8:36:12 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/12/2022 11:11:13 AM (Payment Verification for NCC223209)
* SDH Raleigh, LLC
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/12/2022 11:09 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 24, 2022 5:00 PM
9/12/2022 8:36 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Beverly Subdivision Ph 1A Lots 89-91 & 108-118
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3209
Certificate of NCC223209
Coverage (COC) No.*
Invoice Date 9/12/2022
Initial Invoice No. NCC223209-2022
Initial Fee $ 100.00
Invoice Due Date 10/12/2022
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 9/12/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 004830
NOI Tracking No. 105134
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JOHNS-2022-Beverly Subdivision Ph 1A Lots 89-91 & 108-118