NCC230322_NOI 126022 Payment Verification_20230203

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/2/2023 1:40:33 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/3/2023 6:50:59 AM (Review - NOI 126022 Classica Homes - Antioch Church
Road Tracts 1 & 2)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/2/2023 1:40 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 7, 2023 5:00
PM 2/2/2023 1:40 PM
by Workflow 2/3/2023 6:51:06 AM (Workflow Start Event)
Submit by Holloman, Tevye L 2/3/2023 12:56:39 PM (Payment Verification for NCC230322)
F Matthew Velkovich
• Holloman, Tevye L assigned the task to Holloman, Tevye L 2/3/2023 12:55 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 17, 2023 5:00 PM
2/3/2023 6:51 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Classica Homes - Antioch Church Road Tracts 1 & 2
Lot Numbers (If listed on the eNOI)
Lot 1 and Lot 2
NC Reference No.* NCG01-2023-0322
Certificate of NCC230322
Coverage (COC) No.*
Invoice Date 2/3/2023
Initial Invoice No. NCC230322-2023
Initial Fee $ 100.00
Invoice Due Date 3/5/2023
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 2/3/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* • electronic
check
Other
ePayment 674713345
Transaction Number*
NOI Tracking No. 126022
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-UNION-2023-Classica Homes - Antioch Church Road Tracts 1 & 2