NCC221590_NOI 88835 Payment Verification_20220425

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/21/2022 7:29:40 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/22/2022 8:25:44 AM (Review - NOI 88835 Hickory Downs - Lot 22)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/21/2022 7:30 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 26, 2022 5:00 PM
4/21/2022 7:30 PM
by Workflow 4/22/2022 8:25:53 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/25/2022 8:35:41 AM (Payment Verification for NCC221590)
F Paul Cacciato
• Selkane, Aziza assigned the task to Selkane, Aziza 4/25/2022 8:34 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 3, 2022 5:00 PM
4/22/2022 8:26 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Hickory Downs - Lot 22
Lot Numbers
(If listed on the eNOI)
22
NC Reference No.*
NCG01-2022-1590
Certificate of
NCC221590
Coverage (COC) No.*
Invoice Date
4/22/2022
Initial Invoice No.
NCC221590-2022
Initial Fee
$ 100.00
Invoice Due Date
5/22/2022
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
4/25/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
630077452
Transaction Number*
NOI Tracking No.
88835
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2022-Hickory Downs - Lot 22