NCC221725_NOI 90318 Payment Verification_20220506

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/3/2022 9:36:27 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 5/3/2022 9:42:50 AM (Review - NOI 90318 Hollycrest 1-4, 6, 8)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 5/3/2022 9:37 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 6, 2022 5:00 PM
5/3/2022 9:37 AM
by Workflow 5/3/2022 9:42:59 AM (Workflow Start Event)
Submit by Selkane, Aziza 5/6/2022 10:30:11 AM (Payment Verification for NCC221725)
F Kelly O'Rourke
• Selkane, Aziza assigned the task to Selkane, Aziza 5/6/2022 10:29 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 14, 2022 5:00 PM
5/3/2022 9:43 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Hollycrest 1-4, 6, 8
Lot Numbers
(If listed on the eNOI)
1,2,3,4,6,8
NC Reference No.*
NCG01-2022-1725
Certificate of
NCC221725
Coverage (COC) No.*
Invoice Date
5/3/2022
Initial Invoice No.
NCC221725-2022
Initial Fee
$ 100.00
Invoice Due Date
6/2/2022
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
5/6/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
632250492
Transaction Number*
NOI Tracking No.
90318
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MOORE-2022-Hollycrest 1-4, 6, 8