NCC222331_NOI 94914 Payment Verification_20220624

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/23/2022 9:10:14 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/23/2022 9:15:41 AM (Review - NOI 94914 Oak Creek)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/23/2022 9:10 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 28, 2022 5:00 PM
6/23/2022 9:10 AM
by Workflow 6/23/2022 9:15:50 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/24/2022 7:22:29 AM (Payment Verification for NCC222331)
F Michael P. Shea
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/24/2022 7:22 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 4, 2022 5:00 PM
6/23/2022 9:16 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Oak Creek
Lot Numbers
(If listed on the eNOI)
1-86
NC Reference No.*
NCG01-2022-2331
Certificate of
NCC222331
Coverage (COC) No.*
Invoice Date
6/23/2022
Initial Invoice No.
NCC222331-2022
Initial Fee
$ 100.00
Invoice Due Date
7/23/2022
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
6/24/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
639804894
Transaction Number*
NOI Tracking No.
94914
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2022-Oak Creek