NCC221027_NOI 83752 Payment Verification_20220407

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/8/2022 1:29:34 PM (NCG01 NOI Submission)
Approve by Morman, Alaina 3/10/2022 1:44:10 PM (Review - NOI 83752 Hickory Ridge)
• The task was assigned to Morman, Alaina by round robin distribution 3/8/2022 1:30 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 10, 2022 5:00 PM
3/8/2022 1:30 PM
by Workflow 3/10/2022 1:44:15 PM (Workflow Start Event)
Submit by Selkane, Aziza 4/7/2022 10:53:40 AM (Payment Verification for NCC221027)
F Jessica Meyer
• Selkane, Aziza assigned the task to Selkane, Aziza 4/7/2022 10:53 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 21, 2022 5:00 PM
3/10/2022 1:44 PM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Hickory Ridge
Lot Numbers
(If listed on the eNOI)
1-49
NC Reference No.*
NCG01-2022-1027
Certificate of
NCC221027
Coverage (COC) No.*
Invoice Date
3/10/2022
Initial Invoice No.
NCC221027-2022
Initial Fee
$ 100.00
Invoice Due Date
4/9/2022
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
4/7/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
626985116
Transaction Number*
NOI Tracking No.
83752
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-DAVID-2022-Hickory Ridge