NCC223568_NOI 109287 Payment Verification_20221017

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/13/2022 4:51:48 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/14/2022 6:57:54 AM (Review - NOI 109287 Heritage Pointe - Lot 27)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/13/2022 4:52 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 18, 2022 5:00
PM 10/13/2022 4:52 PM
by Workflow 10/14/2022 6:58:01 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/17/2022 8:14:32 AM (Payment Verification for NCC223568)
F Dipak Patel
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/17/2022 8:14 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 25, 2022 5:00
PM 10/14/2022 6:58 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Heritage Pointe - Lot 27
Lot Numbers
(If listed on the eNOI)
Lot 27
NC Reference No.*
NCG01-2022-3568
Certificate of
NCC223568
Coverage (COC) No.*
Invoice Date
10/14/2022
Initial Invoice No.
NCC223568-2022
Initial Fee
$ 100.00
Invoice Due Date
11/13/2022
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
10/17/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
657825483
Transaction Number*
NOI Tracking No.
109287
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2022-Heritage Pointe - Lot 27