NCC221907_NOI 91436 Payment Verification_20220519

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/17/2022 3:26:41 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 5/18/2022 7:13:15 AM (Review - NOI 91436 Woodland Park)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 5/17/2022 3:27 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 20, 2022 5:00 PM
5/17/2022 3:27 PM
by Workflow 5/18/2022 7:13:21 AM (Workflow Start Event)
Submit by Selkane, Aziza 5/19/2022 10:25:03 AM (Payment Verification for NCC221907)
F William J Stockton
• Selkane, Aziza assigned the task to Selkane, Aziza 5/19/2022 10:24 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 29, 2022 5:00 PM
5/18/2022 7:13 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmmraf Quafhy
Project Name
Woodland Park
Lot Numbers
(If listed on the eNOI)
LOTS 37,38 PINE HILLS S/D, TR 120X280 ADJ LOT 37 PINE
NC Reference No.*
NCG01-2022-1907
Certificate of
NCC221907
Coverage (COC) No.*
Invoice Date
5/18/2022
Initial Invoice No.
NCC221907-2022
Initial Fee
$ 100.00
Invoice Due Date
6/17/2022
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
5/19/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
634239560
Transaction Number*
NOI Tracking No.
91436
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-NEW H-2022-Woodland Park