NCC222257_NOI 94460 Payment Verification_20220620

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/16/2022 1:23:44 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/17/2022 7:10:07 AM (Review - NOI 94460 Clear Creek Road SD -Cantrell Hills)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/16/2022 1:24 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 21, 2022 5:00 PM
6/16/2022 1:24 PM
by Workflow 6/17/2022 7:10:16 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/20/2022 7:31:35 AM (Payment Verification for NCC222257)
F Debra E. Green
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/20/2022 7:31 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 29, 2022 5:00 PM
6/17/2022 7:10 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Clear Creek Road SD -Cantrell Hills
Lot Numbers
(If listed on the eNOl)
76, 77, 78, 105,106, 107, 108, 109, 110, 113, 114, 116, 117, 118, 119, 120, 121, 151,
152, 153, 154, 155, 156, 157, 158, 159
NC Reference No.*
NCG01-2022-2257
Certificate of
NCC222257
Coverage (COC) No.*
Invoice Date
6/17/2022
Initial Invoice No.
NCC222257-2022
Initial Fee
$ 100.00
Invoice Due Date
7/17/2022
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
6/20/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
638917943
Transaction Number*
NOI Tracking No.
94460
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-HENDE-2022-Clear Creek Road SD -Cantrell Hills