NCC222541_NOI 97192 Payment Verification_20220725

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/13/2022 11:09:06 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/14/2022 7:24:24 AM (Review - NOI 97192 Forest Park Homes)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/13/2022 11:09 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 18, 2022 5:00 PM
7/13/2022 11:09 AM
by Workflow 7/14/2022 7:24:31 AM (Workflow Start Event)
Submit by Tran, Kieu M 7/25/2022 10:54:00 AM (Payment Verification for NCC222541)
F Gideon Lee
• Tran, Kieu M assigned the task to Tran, Kieu M 7/25/2022 10:53 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 25, 2022 5:00 PM
7/14/2022 7:24 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Forest Park Homes
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-2541
Certificate of
NCC222541
Coverage (COC) No.*
Invoice Date
7/14/2022
Initial Invoice No.
NCC222541-2022
Initial Fee
$ 100.00
Invoice Due Date
8/13/2022
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
7/25/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
643402673
Transaction Number*
NOI Tracking No.
97192
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2022-Forest Park Homes