NCC230125_NOI 122634 Payment Verification_20230117

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/13/2023 9:56:21 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/13/2023 9:59:16 AM (Review - NOI 122634 Henley Ridge Subdivision)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/13/2023 9:56 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 18, 2023 5:00
PM. The priority is: High 1/13/2023 9:56 AM
by Workflow 1/13/2023 9:59:24 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/17/2023 8:41:17 AM (Payment Verification for NCC230125)
F Timothy D Grein
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/17/2023 8:40 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 24, 2023 5:00 PM.
The priority is: High 1/13/2023 9:59 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Henley Ridge Subdivision
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0125
Certificate of NCC230125
Coverage (COC) No.*
Invoice Date 1/13/2023
Initial Invoice No. NCC230125-2023
Initial Fee $ 100.00
Invoice Due Date 2/12/2023
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 1/17/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 671445472
Transaction Number*
NOI Tracking No. 122634
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-DAVID-2022-Henley Ridge Subdivision