NCC222817_NOI 101357 Payment Verification_20220808

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/5/2022 9:37:26 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/5/2022 9:41:11 AM (Review - NOI 101357 Chatham Park - Phase 6B Lots 101-
111, 140-145 & 4A Lots 529-543, 582-585)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/5/2022 9:38 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 10, 2022 5:00
PM 8/5/2022 9:38 AM
by Workflow 8/5/2022 9:41:20 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/8/2022 9:22:17 AM (Payment Verification for NCC222817)
F Kristi Dillard
• Tran, Kieu M assigned the task to Tran, Kieu M 8/8/2022 9:21 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 16, 2022 5:00
PM 8/5/2022 9:41 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Chatham Park - Phase 6B Lots 101-111, 140-145 & 4A Lots 529-543, 582-585
Lot Numbers
(If listed on the eNOI)
101-111, 140-145, 529-543, 582-585
NC Reference No.*
NCG01-2022-2817
Certificate of
NCC222817
Coverage (COC) No.*
Invoice Date
8/5/2022
Initial Invoice No.
NCC222817-2022
Initial Fee
$ 100.00
Invoice Due Date
9/4/2022
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
8/8/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
646903472
Transaction Number*
NOI Tracking No.
101357
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2022-Chatham Park - Phase 6B Lots 101-111, 140-145 & 4A Lots
529-543, 582-585