NCC223266_NOI 105616 Payment Verification_20220921

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/15/2022 3:39:04 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/16/2022 6:42:09 AM (Review - NOI 105616 Southbridge SF2)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/15/2022 3:39 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 20, 2022 5:00
PM 9/15/2022 3:39 PM
by Workflow 9/16/2022 6:42:15 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/21/2022 8:32:10 AM (Payment Verification for NCC223266)
F Kirby D Trundle, Mungo Homes
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/21/2022 8:31 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 28, 2022 5:00 PM
9/16/2022 6:42 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Southbridge SF2
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3266
Certificate of NCC223266
Coverage (COC) No.*
Invoice Date 9/16/2022
Initial Invoice No. NCC223266-2022
Initial Fee $ 100.00
Invoice Due Date 10/16/2022
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 9/21/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 654039436
Transaction Number*
NOI Tracking No. 105616
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ON SLO-2022-Southbridge SF2