NCC220848_NOI 81909 Payment Verification_20220223

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/21/2022 9:32:56 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/21/2022 9:45:10 AM (Review - NOI 81909 Broadmoor)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/21/2022 9:33 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 23, 2022 5:00
PM 2/21/2022 9:33 AM
by Workflow 2/21/2022 9:45:20 AM (Workflow Start Event)
Submit by Morman, Alaina 2/23/2022 10:18:24 AM (Payment Verification for NCC220848)
F Robert Kardos Beechwood Org
• Morman, Alaina assigned the task to Morman, Alaina 2/23/2022 10:17 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 4, 2022 5:00 PM
2/21/2022 9:45 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Broadmoor
Lot Numbers
(If listed on the eNOI)
1 through 62
NC Reference No.*
NCG01-2022-0848
Certificate of
NCC220848
Coverage (COC) No.*
Invoice Date
2/21/2022
Initial Invoice No.
NCC220848-2022
Initial Fee
$ 100.00
Invoice Due Date
3/23/2022
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
2/23/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
619631085
Transaction Number*
NOI Tracking No.
81909
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-UNION-2022-Broadmoor