NCC222798_NOI 101207 Payment Verification_20220805

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/3/2022 4:23:20 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/4/2022 6:36:41 AM (Review - NOI 101207 Holder Road Subdivision)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/3/2022 4:24 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 8, 2022 5:00 PM
8/3/2022 4:24 PM
by Workflow 8/4/2022 6:36:49 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/5/2022 8:55:11 AM (Payment Verification for NCC222798)
F BS Land LLC
• Tran, Kieu M assigned the task to Tran, Kieu M 8/5/2022 8:54 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 15, 2022 5:00
PM 8/4/2022 6:36 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Holder Road Subdivision
Lot Numbers
(If listed on the eNOI)
1-82
NC Reference No.*
NCG01-2022-2798
Certificate of
NCC222798
Coverage (COC) No.*
Invoice Date
8/4/2022
Initial Invoice No.
NCC222798-2022
Initial Fee
$ 100.00
Invoice Due Date
9/3/2022
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
8/5/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
646680947
Transaction Number*
NOI Tracking No.
101207
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-HARNE-2022-Holder Road Subdivision