NCC221675_NOI 89931 Payment Verification_20220614

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/28/2022 10:42:29 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/28/2022 10:46:06 AM (Review - NOI 89931 Chapel Ridge - Lot 667)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/28/2022 10:42 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 3, 2022 5:00 PM
4/28/2022 10:42 AM
by Workflow 4/28/2022 10:46:18 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/14/2022 8:29:24 AM (Payment Verification for NCC221675)
F Parker Stone
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/14/2022 8:28 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 9, 2022 5:00 PM
4/28/2022 10:46 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Chapel Ridge - Lot 667
Lot Numbers
(If listed on the eNOI)
667
NC Reference No.*
NCG01-2022-1675
Certificate of
NCC221675
Coverage (COC) No.*
Invoice Date
4/28/2022
Initial Invoice No.
NCC221675-2022
Initial Fee
$ 100.00
Invoice Due Date
5/28/2022
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
6/14/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
638197964
Transaction Number*
NOI Tracking No.
89931
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2022-Chapel Ridge - Lot 667