NCC224218_NOI 120841 Payment Verification_20230123

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/29/2022 10:48:34 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/29/2022 10:53:28 AM (Review - NOI 120841 Black Forest Pointe)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/29/2022 10:48 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 3, 2023 5:00 PM
12/29/2022 10:48 AM
by Workflow 12/29/2022 10:53:38 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/23/2023 9:54:22 AM (Payment Verification for NCC224218)
F Michael D Weeks
Holloman, Tevye L assigned the task to Holloman, Tevye L 1/23/2023 9:53 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 9, 2023 5:00 PM
12/29/2022 10:53 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Black Forest Pointe
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-4218
Certificate of NCC224218
Coverage (COC) No.*
Invoice Date 12/29/2022
Initial Invoice No. NCC224218-2022
Initial Fee $ 100.00
Invoice Due Date 1/28/2023
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 1/23/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 673006690
Transaction Number*
NOI Tracking No. 120841
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JOHNS-2023-Black Forest Pointe