NCC222273_NOI 94554 Payment Verification_20220712

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/17/2022 11:19:30 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/21/2022 7:26:42 AM (Review - NOI 94554 Clark's Preserve Phase 1)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/17/2022 11:19 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 22, 2022 5:00 PM
6/17/2022 11:19 AM
by Workflow 6/21/2022 7:26:49 AM (Workflow Start Event)
Submit by Tran, Kieu M 7/12/2022 9:00:43 AM (Payment Verification for NCC222273)
F Sanders Engineering
• Tran, Kieu M assigned the task to Tran, Kieu M 7/12/2022 9:00 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 2, 2022 5:00 PM
6/21/2022 7:26 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Clark's Preserve Phase I
Lot Numbers
(If listed on the eNOI)
NA
NC Reference No.*
NCG01-2022-2273
Certificate of
NCC222273
Coverage (COC) No.*
Invoice Date
6/21/2022
Initial Invoice No.
NCC222273-2022
Initial Fee
$ 100.00
Invoice Due Date
7/21/2022
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
7/12/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
642560533
Transaction Number*
NOI Tracking No.
94554
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ROCKI-2022-Clark's Preserve Phase I