NCC223777_NOI 112030 Payment Verification_20221108

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/7/2022 9:41:54 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/7/2022 10:16:30 AM (Review - NOI 112030 Weatherford Subdivision - Lots 96-
115)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/7/2022 9:43 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 10, 2022 5:00
PM 11/7/2022 9:43 AM
by Workflow 11/7/2022 10:16:39 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/8/2022 9:47:17 AM (Payment Verification for NCC223777)
F Jerry Dean
• Holloman, Tevye L assigned the task to Holloman, Tevye L 11/8/2022 9:46 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 19, 2022 5:00
PM 11/7/2022 10:16 AM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Weatherford Subdivision - Lots 96-115
Lot Numbers
(If listed on the eNOI)
Lots 96-115
NC Reference No.*
NCG01-2022-3777
Certificate of
NCC223777
Coverage (COC) No.*
Invoice Date
11/7/2022
Initial Invoice No.
NCC223777-2022
Initial Fee
$ 100.00
Invoice Due Date
12/7/2022
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
11/8/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
661449684
Transaction Number*
NOI Tracking No.
112030
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-JOHNS-2022-Weatherford Subdivision - Lots 96-115